| Ivonne Gonzalez Hermosillo, | |
|
3761 Johnson Hall Dr, Masonic Home, KY 40041-9998 | |
| (502) 633-1007 | |
| Not Available |
| Full Name | Ivonne Gonzalez Hermosillo |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3761 Johnson Hall Dr, Masonic Home, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295612083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 309141 (Kentucky) | Primary |
| 225X00000X | Occupational Therapist | OTH-010080 (Arizona) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ivonne Gonzalez Hermosillo, 90 Howard Dr, Shelbyville, KY 40065-8138 Ph: (502) 321-9035 | Ivonne Gonzalez Hermosillo, 3761 Johnson Hall Dr, Masonic Home, KY 40041-9998 Ph: (502) 633-1007 |
Caroline Louise Spicker, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3761 Johnson Hall Dr, Masonic Home, KY 40041 Phone: 502-293-1695 | |
Holly Kirwan, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3761 Johnson Hall Drive, Masonic Home, KY 40041 Phone: 502-633-1007 | |
Robert Heimann, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3761 Johnson Hall Dr, Masonic Home, KY 40041 Phone: 502-293-1695 | |
Jennifer Renee Kief, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 240 Masonic Home Dr, Masonic Home, KY 40041 Phone: 502-753-8815 | |
Austin Hope Clark, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3761 Johnson Hall Dr, Masonic Home, KY 40041 Phone: 502-293-1696 | |
Mrs. Natalie Jane Tinsley, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 240 Masonic Home Dr, Masonic Home, KY 40041 Phone: 502-753-8850 Fax: 502-753-8951 |