BRIDGETT LOREN MIRACLE

SOMERSET, KY
NPI1184143927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  174748)
Enumeration Date2017-09-13
Last Update Date2017-09-13
Business Address
BRIDGETT LOREN MIRACLE
303 SECOND ST
SOMERSET, KY 42501-2390
Phone number: 606-677-1166
Mailing Address
BRIDGETT LOREN MIRACLE
58 MILL CREEK DR
CORBIN, KY 40701-4182
Phone number: 606-677-1166