Organization
THERAPY HERO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYSHAD WITHROW (OCCUPATIONAL THERAPIST)
(682) 249-9820
Entity
Organization
Contact information
Practice address
2500 W BROADWAY, LOUISVILLE, KY 40211-1081
(502) 930-9638
(833) 378-1752
Mailing address
2500 W BROADWAY, LOUISVILLE, KY 40211-1081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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