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Organization
MILL POND INTEGRATIVE HEALTH AND WELLNESS CENTER
Active
Organization
MILL POND INTEGRATIVE HEALTH AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN PEARCE (CLINIC DIRECTOR)
(859) 219-0617
Entity
Organization
Contact information
Practice address
3650 BOSTON RD, SUITE 188, LEXINGTON, KY 40514-1569
(859) 219-0617
(859) 219-0622
Mailing address
3650 BOSTON RD, SUITE 188, LEXINGTON, KY 40514-1569
(859) 219-0617
(859) 219-0622
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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