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1922491679
ALICIA KOTHEIMER EDMISTON
LOUISVILLE, KY
NPI
1922491679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY KY-R5700)
Enumeration Date
2015-03-05
Last Update Date
2015-07-28
Business Address
-- ALICIA KOTHEIMER EDMISTON MS, OTR/L
4121 SHELBYVILLE RD SUITE 7
LOUISVILLE, KY 40207-3205
Phone number: 502-893-1380
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Mailing Address
-- ALICIA KOTHEIMER EDMISTON MS, OTR/L
200 DAISY LN
LOUISVILLE, KY 40243-1402
Phone number: 502-693-7037
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