Individual
REGINA MILLER ELDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1054 CENTER DR, SUITE 1, RICHMOND, KY 40475-3851
(859) 625-0600
(859) 625-0969
Mailing address
1795 ALYSHEBA WAY, SUITE 3202, LEXINGTON, KY 40509-2280
(859) 264-8868
(859) 264-8878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
148285
KY
Other
Enumeration date
09/08/2014
Last updated
05/23/2016
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