Individual
MICHELE JENENNE WARREN-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6804 MONTECITO LN, LOUISVILLE, KY 40291-3671
(502) 762-0906
Mailing address
6804 MONTECITO LN, LOUISVILLE, KY 40291-3671
(502) 762-0906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A2381
KY
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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