Individual
ABBY LYNNE MAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
524 IOLA RD, LOUISVILLE, KY 40207-3662
(502) 310-9393
Mailing address
524 IOLA RD, LOUISVILLE, KY 40207-3662
(502) 310-9393
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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