Individual
MARISA LEIGH BOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 LITTLE ST, MANCHESTER, KY 40962-1233
(606) 391-6224
Mailing address
1619 GABBARDS FORK RD, MANCHESTER, KY 40962-5248
(606) 594-0864
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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