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AUDREY LANE

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist

Provider NPI: 1578921896

Provider Information:
 AUDREY  LANE 
Gender: F
Not Sole Proprietor

Practice Location:
225 FALCON DR  MOUNT STERLING, KY 40353-9792 US
Tel: 859-497-5000  Fax: --

Business Mailing Address:
165 KINGSWOOD DR  TAYLORSVILLE, KY 40071-6910 US
Tel: 502-320-2850  Fax: --

NPI Information:
NPI: 1578921896
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
N225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
KYR5395

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 225X00000X

Type:

Classification:



Definition:



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