Individual
MRS. ANGELA ANN RABENECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
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
225X00000X
Occupational Therapist
Primary
134672
KY
Other
Enumeration date
06/07/2016
Last updated
07/15/2016
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