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Individual

ABIGAIL M PRATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
642 CARDINAL DR, TAYLOR MILL, KY 41015-2002
(513) 646-6456
Mailing address
642 CARDINAL DR, TAYLOR MILL, KY 41015-2002
(513) 646-6456

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.2018785-SP
OH
235Z00000X
Speech-Language Pathologist
SP.13794
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21887155
OH
01
AB7360731
MEDICARE PIN
OH
Enumeration date
11/15/2018
Last updated
11/27/2024
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