LYDIA TANNIS MOSHER

SHELBYVILLE, KY
NPI1194138727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  KY-R5866)
Enumeration Date2014-06-11
Last Update Date2017-09-07
Business Address
-- LYDIA TANNIS MOSHER OT/L
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number: 502-633-1007
Mailing Address
-- LYDIA TANNIS MOSHER OT/L
90 HOWARD DRIVE
SHELBYVILLE, KY 40065
Phone number: 502-633-1007
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