JOSE ENRIQUE OLIVENCIA

LOUISVILLE, KY
NPI1720746605
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  131789)
Enumeration Date2021-12-07
Last Update Date2021-12-07
Business Address
JOSE ENRIQUE OLIVENCIA OTR/L
2100 MILLVALE RD
LOUISVILLE, KY 40205-1604
Phone number: 502-451-0990
Mailing Address
JOSE ENRIQUE OLIVENCIA OTR/L
206 HIDDEN OAK PL
LOUISVILLE, KY 40222-4866
Phone number: 502-608-5978
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