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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