Organization
CUSTOM CARE REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAYNE CHRISTIE SANTOS OTR/L (PRESIDENT)
(859) 288-0038
Entity
Organization
Contact information
Practice address
501 DARBY CREEK RD, SUITE 42, LEXINGTON, KY 40509-1604
(859) 288-0038
(859) 264-0560
Mailing address
501 DARBY CREEK RD, SUITE 42, LEXINGTON, KY 40509-1604
(859) 288-0038
(859) 264-0560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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