Organization
BROWN PEDIATRIC OCCUPATIONAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CAITLIN BROWN MS, OTR/L (MEMBER)
(606) 226-9042
Entity
Organization
Contact information
Practice address
126 SUNNINGDALE DR, GEORGETOWN, KY 40324-8889
(606) 226-9042
Mailing address
126 SUNNINGDALE DR, GEORGETOWN, KY 40324-8889
(606) 226-9042
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
162430
KY
Other
Enumeration date
03/05/2017
Last updated
03/05/2017
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