Provider Demographics
NPI:1790418622
Name:FLORENCE, APRIL MARIA (COTA/L)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MARIA
Last Name:FLORENCE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7536 US HIGHWAY 42 STE 2
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1946
Mailing Address - Country:US
Mailing Address - Phone:859-918-5045
Mailing Address - Fax:859-757-2257
Practice Address - Street 1:7536 US HIGHWAY 42 STE 2
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1946
Practice Address - Country:US
Practice Address - Phone:859-918-5045
Practice Address - Fax:859-757-2257
Is Sole Proprietor?:No
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY161891224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant