Organization
PEAK REHABCARE, LLC
Active
Organization
PEAK REHABCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER N KIONGO MHS, MBA, OTR (PRESIDENT)
(270) 727-1023
Entity
Organization
Contact information
Practice address
101 N 7TH ST # 16, MAYFIELD, KY 42066-1801
(270) 247-6668
Mailing address
101 N 7TH ST # 16, MAYFIELD, KY 42066-1801
(270) 247-6668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1718
FIRST STEPS PROGRAM
KY
Enumeration date
08/07/2007
Last updated
01/23/2012
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