Individual
MRS. LISA DIANE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3100 CLAY ST, PADUCAH, KY 42001-4075
(270) 442-6884
Mailing address
3601 JORETTA AVE, PADUCAH, KY 42001-9507
(270) 442-5341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2987
KY
Other
Enumeration date
05/05/2009
Last updated
08/11/2012
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