Individual
ANDREA HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
516 LIDIAN CT, LEXINGTON, KY 40517-2037
(270) 839-4126
Mailing address
516 LIDIAN CT, LEXINGTON, KY 40517-2037
(270) 839-4126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
R0321
KY
225XP0200X
Pediatric Occupational Therapist
Primary
R0321
KY
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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