IndividualActive
Corena Duckwall
NPI 1508521022 · Occupational Therapy Assistant · La Grange, KY
Provider details
- NPI number
- 1508521022
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 161459 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4603 Timberwalk Ct
La Grange, KY 40031-6746
Phone: (703) 864-6695
Approximate (ZIP-level) locationGet directions
Mailing address
4604 Timberwalk Ct
La Grange, KY 40031-6746
Registry dates
- Enumerated
- 2021-11-01
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.