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1134324114
TRACI LYNN PURVIS
LOUISVILLE, KY
NPI
1134324114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY R2744)
Enumeration Date
2007-06-19
Last Update Date
2010-07-06
Business Address
MRS. TRACI LYNN PURVIS OTRL
4211 SHERMAN AVE
LOUISVILLE, KY 40213-1846
Phone number: 502-639-0940
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Mailing Address
MRS. TRACI LYNN PURVIS OTRL
4211 SHERMAN AVE
LOUISVILLE, KY 40213-1846
Phone number: 502-639-0940
Copy
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