Organization
ON THE MOVE PEDATRIC THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA BARROWMAN CLEVENGER (OWNER)
(859) 224-0834
Entity
Organization
Contact information
Practice address
2520 REGENCY RD, SUITE 150, LEXINGTON, KY 40503-2921
(859) 224-0834
(859) 224-0882
Mailing address
2520 REGENCY RD, SUITE 150, LEXINGTON, KY 40503-2921
(859) 224-0834
(859) 224-0882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100274950
—
KY
05
—
7100332520
—
KY
05
—
7100378760
—
KY
05
—
7100389810
—
KY
Enumeration date
09/07/2012
Last updated
11/07/2016
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