Emilee M Longshore, | |
9255 Us Highway 42, Union, KY 41091-7199 | |
(859) 305-5173 | |
Not Available |
Full Name | Emilee M Longshore |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 9255 Us Highway 42, Union, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457833220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 241995 (Kentucky) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063014405 PECOS PAC ID: 2365359932 Enrollment ID: O20210323001374 |
Mailing Address | Practice Location Address |
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Emilee M Longshore, 1410 Meadowcrest Cir, Independence, KY 41051-2533 Ph: () - | Emilee M Longshore, 9255 Us Highway 42, Union, KY 41091-7199 Ph: (859) 305-5173 |
Amanda Hamilton, OTD, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9255 Us Highway 42, Union, KY 41091 Phone: 859-305-5173 | |
Joshua S Chappell, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9255 Us Highway 42, Union, KY 41091 Phone: 814-270-5276 | |
Erin Camille Rowan, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9255 Us Highway 42, Union, KY 41091 Phone: 859-305-5173 |