Individual
MRS. DANA RAQUEL EARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
308 W MARKET ST, LEITCHFIELD, KY 42754-1265
(270) 589-1292
Mailing address
PO BOX 7, LEITCHFIELD, KY 42755-0007
(270) 589-1292
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4652
KY
Other
Enumeration date
11/01/2010
Last updated
11/06/2013
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