Individual
SHARONDA L FAWBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9912 SPRING RIDGE DR, LOUISVILLE, KY 40223-2877
(502) 442-4005
Mailing address
9912 SPRING RIDGE DR, LOUISVILLE, KY 40223-2877
(502) 442-4005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
132395
KY
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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