STACEY NORTHRUP

BOWLING GREEN, KY
NPI1407583347
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: KY  277012)
Enumeration Date2022-08-02
Last Update Date2022-08-02
Business Address
STACEY NORTHRUP OTR/L
1053 LOVERS LN
BOWLING GREEN, KY 42103-7166
Phone number: 502-633-1007
Mailing Address
STACEY NORTHRUP OTR/L
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number:
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