Individual
KATHERESA CLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
KATHERESA
Contact information
Practice address
303 N. HURSTBOURNE PARKWAY SUITE 200, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
14300 MOUNT PERRY RD, MOUNT PERRY, OH 43760-9714
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT03410#
OH
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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