Individual
MRS. RITA S BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Mailing address
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509-1886
(859) 263-5140
(859) 263-5141
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
135474
KY
225XH1200X
Hand Occupational Therapist
135474
KY
225XH1200X
Hand Occupational Therapist
R3404
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K024110
MEDICARE PTAN
KY
Enumeration date
09/19/2005
Last updated
03/31/2021
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