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1740821701
LAKEN TACKETT
LONDON, KY
NPI
1740821701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 260339)
Enumeration Date
2019-10-01
Last Update Date
2021-04-20
Business Address
LAKEN TACKETT OTR
181 OLD WHITLEY RD
LONDON, KY 40744-8211
Phone number: 606-330-0223
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Mailing Address
LAKEN TACKETT OTR
1009 RAINTREE DR
RICHMOND, KY 40475-3001
Phone number:
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