KELLEY BASHAM

LOUISVILLE, KY
NPI1851568034
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KY  A2664)
Enumeration Date2008-05-15
Last Update Date2008-05-15
Business Address
-- KELLEY BASHAM OTA
825 S 6TH ST
LOUISVILLE, KY 40203-2123
Phone number: 502-568-1000
Mailing Address
-- KELLEY BASHAM OTA
825 S 6TH ST
LOUISVILLE, KY 40203-2123
Phone number: 502-568-1000
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