Organization
GOLDEN GATE BRIDGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE C. JESTER (EXECUTIVE DIRECTOR)
(270) 629-5300
Entity
Organization
Contact information
Practice address
601 HAPPY VALLEY RD STE C, GLASGOW, KY 42141-1564
(270) 629-5300
(270) 629-5800
Mailing address
601 HAPPY VALLEY RD STE C, GLASGOW, KY 42141-1564
(270) 629-5300
(270) 629-5800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
Other
Enumeration date
07/30/2011
Last updated
12/18/2012
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