Organization
REHAB RESOURCE
Active
Organization
REHAB RESOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIGUFTA QURESHI (CEO)
(270) 351-3511
Entity
Organization
Contact information
Practice address
111 N WOODLAND DR STE C, RADCLIFF, KY 40160
(270) 351-3511
(270) 351-3514
Mailing address
111 N WOODLAND DR STE C, RADCLIFF, KY 40160-2678
(270) 351-3511
(270) 351-3514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3688
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186645
MEDICAIRE ID
KY
05
—
7100051110
—
KY
Enumeration date
04/07/2009
Last updated
06/13/2018
Update your record
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