Organization
OT WHOLE HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI MALONE (OTR/L)
(606) 584-3230
Entity
Organization
Contact information
Practice address
2301 OLD MAIN ST OFC 1, MAYSVILLE, KY 41056-8934
(606) 584-3230
Mailing address
3106 PICKETT LN, MAYSVILLE, KY 41056
(606) 584-3230
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132003
OT LICENSE NUMBER
KY
Enumeration date
11/18/2022
Last updated
11/23/2022
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