Individual
MEAGAN SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1550 RAYDALE DR, LOUISVILLE, KY 40219-5031
(502) 968-6600
Mailing address
2317 MERCER AVE, LOUISVILLE, KY 40216-3769
(502) 718-8227
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A5952
KY
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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