Individual
DESTINY DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 245-1576
Mailing address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
(502) 245-1576
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-153699
KY
225X00000X
Occupational Therapist
Primary
307126
KY
225X00000X
Occupational Therapist
Primary
548498
KY
Other
Enumeration date
02/02/2021
Last updated
04/07/2026
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