Organization
MARYPOPPINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY HAMMONS OT (OWNER)
(859) 327-9966
Entity
Organization
Contact information
Practice address
2384 ICE HOUSE WAY, LEXINGTON, KY 40509-8638
(859) 327-9966
Mailing address
2384 ICE HOUSE WAY, LEXINGTON, KY 40509-8638
(859) 327-9966
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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