Individual
MR. ROBERT GLENN DURRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
142 STUART NELSON PARK RD, PADUCAH, KY 42001-9678
(270) 442-9502
Mailing address
148 STUART NELSON PARK RD, PADUCAH, KY 42001-9678
(270) 442-9502
(270) 442-1954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
132975
KY
Other
Enumeration date
01/29/2016
Last updated
04/06/2017
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