STACEY A MINK

LOUISVILLE, KY
NPI1740612431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202007690)
Enumeration Date2013-08-05
Last Update Date2013-08-05
Business Address
-- STACEY A MINK COTA/L
303 N. HURSTBOURNE PARKWAY SUITE 200
LOUISVILLE, KY 40222
Phone number: 502-412-5847
Mailing Address
-- STACEY A MINK COTA/L
335 BRANDT RD.
ORTONVILLE, MI 48462
Phone number: 810-919-2653
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