COMMONWEALTH OF KENTUCKY

LOUISVILLE, KY
NPI1023479250
Doing Business AsLEE SPECIALTY CLINIC
Entity TypeOrganization
Authorized ContactTANYIKA WAN
CAO
502-368-2348
Organization Subpart ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KY  A2460)
Enumeration Date2016-03-16
Last Update Date2016-03-16
Business Address
COMMONWEALTH OF KENTUCKY
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216-3987
Phone number: 502-368-2348
Mailing Address
COMMONWEALTH OF KENTUCKY
4501 LOUISE UNDERWOOD WAY
LOUISVILLE, KY 40216-3987
Phone number: 502-368-2348