Individual
MRS. LAURA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3717 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1333
(502) 459-5292
Mailing address
10401 LINN STATION RD STE 100, LOUISVILLE, KY 40223-3842
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
173297
KY
Other
Enumeration date
07/28/2017
Last updated
07/03/2024
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