Individual
CLARISA CAMILLE PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2647 REGENCY RD STE 107, LEXINGTON, KY 40503-2961
(859) 224-0834
Mailing address
108 MCINTOSH DR, RICHMOND, KY 40475-9161
(606) 493-8259
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
245325
KY
Other
Enumeration date
10/19/2018
Last updated
11/16/2022
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