Individual
LAURA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1030 KENTONTOWN RD, MOUNT OLIVET, KY 41064-7649
(606) 724-5020
Mailing address
1030 KENTONTOWN ROAD, MT. OLIVET, KY 41064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
BOTOCT00224877
KY
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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