Most Relevant Information
Provider Data
| NPI Number: | 1003284480 |
| Provider Name: | MARA CHILDERS |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | BOTOCT00222178 |
Most Important Dates
| Enumeration Date: | 09/02/2015 |
| Last Updated: | 09/02/2015 |
Provider Practice Location
4777 KY ROUTE 850
HIPPO
KY
416538331
Practice Location Phone/Fax
| Phone: | 6067917435 |
| Fax: |
Provider Mailing Location
4777 KY ROUTE 850
HIPPO
KY
416538331
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |