| |
476 Liberty Road, West Liberty, KY 41472-2049 | |
(606) 743-3186 | |
(606) 743-3229 |
Full Name | |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 476 Liberty Road, West Liberty, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790925469 | NPI | - | NPPES |
01021773 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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476 Liberty Road, West Liberty, KY 41472-2049 Ph: (606) 743-3186 | 476 Liberty Road, West Liberty, KY 41472-2049 Ph: (606) 743-3186 |