Individual
MR. JEFFREY COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
300 WESTWOOD ST, GLASGOW, KY 42141-1030
(270) 651-9131
Mailing address
300 WESTWOOD ST, GLASGOW, KY 42141-1030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
175128
KY
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
175128
KY
Other
Enumeration date
03/16/2018
Last updated
12/01/2018
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