KRISTEN BLACK

CRESTWOOD, KY
NPI1912334996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: KY  R5722)
Enumeration Date2013-10-04
Last Update Date2013-10-04
Business Address
-- KRISTEN BLACK MSOT, OTR/L
6317 HIGHWAY 329
CRESTWOOD, KY 40014-9040
Phone number: 502-384-0910
Mailing Address
-- KRISTEN BLACK MSOT, OTR/L
3520 DUTCHMANS LN
LOUISVILLE, KY 40205-3256
Phone number: 317-366-3398