Organization · Type 2 NPI
Dovetail Therapy, PLLC
Rehabilitation Clinic/Center · Radcliff, KY
NPI number
1720486012
Active
Practice location
645 Knox Blvd
Radcliff, KY 40160-1514
Fax (502) 849-1279
Mailing address
PO Box 558
Radcliff, KY 40159-0558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | BOTOCT00210728 (KY) |
| Early Intervention Provider Agency | 252Y00000X | BOTOCT00210728 (KY) |
| Rehabilitation Clinic/Center Primary | 261QR0400X | BOTOCT (KY) |
Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1720486012
Dovetail Therapy, PLLC's National Provider Identifier is 1720486012, issued on Dec 18, 2014. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Radcliff, KY. The record was last updated on Jan 23, 2015.