Individual
MISS MEGAN CARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
159 SAINT MATTHEWS AVE, LOUISVILLE, KY 40207-3137
(502) 899-7105
Mailing address
159 SAINT MATTHEWS AVE, LOUISVILLE, KY 40207-3137
(502) 899-7105
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
BOTOTA00222360
KY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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