Individual
ERIN NALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 DERICKSON LN, STANTON, KY 40380-2153
(606) 663-0435
Mailing address
1531 LINDY LN, LEXINGTON, KY 40505-4068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4625
KY
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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