Organization
PIONEER REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE L MCPHERSON M.S., CCC-SLP (OWNER)
(270) 608-1829
Entity
Organization
Contact information
Practice address
403 W FAIRVIEW AVE, EDDYVILLE, KY 42038-8259
(270) 608-1829
(270) 388-5452
Mailing address
403 W FAIRVIEW AVE, EDDYVILLE, KY 42038-8259
(270) 608-1829
(270) 388-5452
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/19/2011
Last updated
11/19/2011
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