Organization
DOVETAIL THERAPY, PLLC
Active
Other names
Dovetail Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN CAROL ABBOTT OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(270) 351-2224
Entity
Organization
Contact information
Practice address
645 KNOX BLVD, RADCLIFF, KY 40160-1514
(270) 351-2224
(502) 849-1279
Mailing address
PO BOX 558, RADCLIFF, KY 40159-0558
(270) 351-2224
(502) 849-1279
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
BOTOCT00210728
KY
252Y00000X
Early Intervention Provider Agency
BOTOCT00210728
KY
261QR0400X
Rehabilitation Clinic/Center
Primary
BOTOCT
KY
Other
Enumeration date
12/18/2014
Last updated
01/23/2015
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