Individual
MRS. WHITNEY MICHELLE TOMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
126 HARPERS FERRY RD, LOUISVILLE, KY 40214-5748
(502) 500-5744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
242020
KY
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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