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Organization

STAVES OCCUPATIONAL THERAPY SERVICES

Active
Other names
Staves Occupational Therapy Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHASSIDY CROSS STAVES OTR/L (OCCUPATIONAL THERAPIST, OWNER)
(270) 993-6959
Entity
Organization

Contact information

Practice address
2200 E PARRISH AVE BLDG C, OWENSBORO, KY 42303-1449
(270) 681-0274
Mailing address
2045 WHISPERING MEADOWS DR, OWENSBORO, KY 42301-8476
(270) 993-6959

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100628840
KY
Enumeration date
10/11/2019
Last updated
10/11/2019
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