Organization
AGE IN PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KEARNY OTR/L (OCCUPATIONAL THERAPIST)
(908) 377-8137
Entity
Organization
Contact information
Practice address
1333 CARDINAL WAY, BOWLING GREEN, KY 42103-1511
(908) 377-8137
Mailing address
1333 CARDINAL WAY, BOWLING GREEN, KY 42103-1511
(908) 377-8137
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
06/24/2024
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