Organization
HOP SKIP AND A JUMP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN L BEEBE (OTR/L)
(502) 570-2337
Entity
Organization
Contact information
Practice address
105 WINDSOR PATH, SUITE 1, GEORGETOWN, KY 40324-9617
(502) 570-2337
(502) 570-2338
Mailing address
105 WINDSOR PATH, SUITE 1, GEORGETOWN, KY 40324-9617
(502) 570-2337
(502) 570-2338
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
KY
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000800679
ANTHEM
KY
05
—
7100236820
—
KY
05
—
7100302990
—
KY
Enumeration date
09/06/2012
Last updated
09/19/2014
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