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Individual

MR. MATTHEW B ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ORT/L, CHT

Contact information

Practice address
101 WINDSOR PATH, SUITE 2, GEORGETOWN, KY 40324-9617
(502) 863-1674
(502) 863-1676
Mailing address
101 WINDSOR PATH, SUITE 2, GEORGETOWN, KY 40324-9617
(502) 863-1674
(502) 863-1676

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
R2604
KY

Other

Enumeration date
09/26/2007
Last updated
11/11/2011
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