BRADLEY DON MOULDEN

LOUISVILLE, KY
NPI1659043271
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  132380)
Enumeration Date2021-10-01
Last Update Date2021-10-01
Business Address
BRADLEY DON MOULDEN OTR/L
8203 THORNWOOD RD
LOUISVILLE, KY 40220-2887
Phone number: 502-552-6648
Mailing Address
BRADLEY DON MOULDEN OTR/L
8203 THORNWOOD RD
LOUISVILLE, KY 40220-2887
Phone number: 502-552-6648