Organization
STILLWATERS OCCUPATIONAL THERAPY LLC
Active
Organization
STILLWATERS OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY SEIGH (BUSINESS ADMINISTRATOR)
(252) 333-8543
Entity
Organization
Contact information
Practice address
310B S KEENELAND DR, RICHMOND, KY 40475-3228
(252) 333-8543
Mailing address
310B S KEENELAND DR, RICHMOND, KY 40475-3228
(252) 333-8543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100843060
—
KY
Enumeration date
08/24/2022
Last updated
09/13/2022
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