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Organization

FRONTIER FOUNDATION INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTOIN HANA MD (OWNER)
(606) 372-1234
Entity
Organization

Contact information

Practice address
713 BROADWAY STREET, STE 203, PRESTONSBURG, KY 41653
(606) 372-1234
(606) 372-1240
Mailing address
PO BOX 280, PRESTONSBURG, KY 41653-0280
(606) 372-1234
(606) 372-1240

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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