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Organization

CREATIVE OCCUPATIONAL THERAPY SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA ANN RABENECK OTR/L (MANAGER)
(502) 225-4260
Entity
Organization

Contact information

Practice address
1812 GRAND VILLA DR, LA GRANGE, KY 40031-8991
(502) 225-4260
Mailing address
1812 GRAND VILLA DR, LA GRANGE, KY 40031-8991
(502) 225-4260

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
R5453
KY

Other

Enumeration date
06/07/2016
Last updated
06/07/2016
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