Individual
MRS. ETHEL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEVELOPMENTAL INTERV
Contact information
Practice address
315 ROLLING ACRES RD, BEAYTYVILLE, KY 40311
(606) 560-0081
Mailing address
PO BOX 726, BEATTYVILLE, KY 41311
(606) 560-0081
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
201149812
KY
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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