Organization
PARAGON REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE DAVIS OTR/L (OCCUPATIONAL THERAPIST)
(336) 760-1357
Entity
Organization
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008257
OH
Other
Enumeration date
03/28/2013
Last updated
03/28/2013
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