| |
193 Glades Rd, Berea, KY 40403-2261 | |
(859) 986-1055 | |
(859) 986-1022 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 193 Glades Rd, Berea, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205192721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 932184, Atlanta, GA 31193-4912 Ph: () - | 193 Glades Rd, Berea, KY 40403-2261 Ph: (859) 986-1055 |