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NPI Code Detail

MEDICARE: OLIVIA FORD OTR/L

MEDICARE: OLIVIA FORD OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist18285NC

General Provider Information

NPI Number : 1407798077
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA FORD OTR/L
Provider Business Mailing Address
First Line : 303 N HURSTBOURNE PKWY STE 200
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-5158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 N HURSTBOURNE PKWY STE 200
Second Line :
City : LOUISVILLE
State : KY
Zip : 40222-5158
Country : US
Telephone Number : 800-465-3203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ OLIVIA FORD OTR/L” Practice Location

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