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Individual

AMBER WILLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1901 COMMONWEALTH CT UNIT B, LOUISVILLE, KY 40299-2355
(502) 458-9978
Mailing address
9209 WANLOU DR, LOUISVILLE, KY 40272-2766

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
281121
KY

Other

Enumeration date
11/22/2022
Last updated
11/28/2022
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