Individual
KRISTINA MICHELLE LUTZ DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2200 STONY BROOK DR, LOUISVILLE, KY 40220-4016
(502) 495-6240
Mailing address
13205 SNOWDEN VLY, GOSHEN, KY 40026-9500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31004539A
IN
225X00000X
Occupational Therapist
Primary
R3359
KY
Other
Enumeration date
01/28/2012
Last updated
01/28/2012
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