Organization
HEATHER ROACH OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BOSS ROACH OT (OWNER)
(502) 542-9221
Entity
Organization
Contact information
Practice address
1005 PARKVIEW CT, LAWRENCEBURG, KY 40342-1579
(502) 542-9221
Mailing address
106 STAPLETON WAY, GEORGETOWN, KY 40324-2674
(502) 542-9221
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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