TRAVIS JASON PRENTICE

LOUISVILLE, KY
NPI1730935446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  163137)
Enumeration Date2024-04-24
Last Update Date2024-04-24
Business Address
TRAVIS JASON PRENTICE
159 SAINT MATTHEWS AVE
LOUISVILLE, KY 40207-3137
Phone number: 502-899-7105
Mailing Address
TRAVIS JASON PRENTICE
6803 FEGENBUSH LN
LOUISVILLE, KY 40228-1371
Phone number: 502-744-7029
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