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1619063443
LAURIE JOHNSON TACKETT
LOUISVILLE, KY
NPI
1619063443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 278889)
Enumeration Date
2006-10-05
Last Update Date
2024-03-12
Business Address
LAURIE JOHNSON TACKETT MHS, OTR/L
11840 COMMONWEALTH DR
LOUISVILLE, KY 40299-2309
Phone number: 502-633-1007
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Mailing Address
LAURIE JOHNSON TACKETT MHS, OTR/L
90 HOWARD DR
SHELBYVILLE, KY 40065-8138
Phone number:
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