Individual
MRS. ELIZABETH KELLY RHODUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
370 HIGHLAND PARK DR STE 1, RICHMOND, KY 40475-3546
(859) 623-4567
Mailing address
370 HIGHLAND PARK DR STE 1, RICHMOND, KY 40475-3546
(859) 623-4567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
15319
FL
225X00000X
Occupational Therapist
Primary
R-5661
KY
225XP0200X
Pediatric Occupational Therapist
15319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006789200
—
FL
01
—
880357900
OCA
FL
01
—
880357904
OCA
FL
01
—
K090590
MEDICARE ID
—
Enumeration date
07/23/2012
Last updated
03/28/2014
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