Organization
EMERGE REHAB & WELLNESS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RAISSA JEWELL SMITH OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(606) 584-9999
Entity
Organization
Contact information
Practice address
3501 FENWICK PARK PL APT F, LOUISVILLE, KY 40220-5844
(606) 584-9999
Mailing address
3501 FENWICK PARK PL APT F, LOUISVILLE, KY 40220-5844
(606) 584-9999
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
09/30/2020
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