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Organization
LIFE SKILLS OCCUPATIONAL THERAPY
Active
Organization
LIFE SKILLS OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA R EARLEY MSOT, OTR/L (OWNER)
(270) 589-1292
Entity
Organization
Contact information
Practice address
308 W MARKET ST, LEITCHFIELD, KY 42754-1265
(270) 589-1292
Mailing address
PO BOX 7, LEITCHFIELD, KY 42755-0007
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
R4652
KY
Other
Enumeration date
10/14/2013
Last updated
11/08/2013
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