Organization
SELECT REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY NICOLE MOFFIT OTA (OCCUPATIONAL THERAPIST ASSISTANT)
(859) 267-0166
Entity
Organization
Contact information
Practice address
1155 EASTERN PKWY, LOUISVILLE, KY 40217-1401
(502) 636-5241
Mailing address
145 SAINT FRANCIS RD, SAINT FRANCIS, KY 40062-7013
(859) 267-0166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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