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NPI Code Detail

MEDICARE: REBA D ZILLER ORT/L

MEDICARE: REBA D ZILLER ORT/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist132629KY
2225X00000XOccupational TherapistR0658KY

General Provider Information

NPI Number : 1184058885
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBA D ZILLER ORT/L
Provider Business Mailing Address
First Line : 2322 TYLER LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-2635
Country : US
Telephone Number : 502-608-7889
Fax Number :
Provider Business Practice Location Address
First Line : 212 N 2ND ST
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1408
Country : US
Telephone Number : 502-608-7889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2013
Last Update Date : 05/29/2025

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Directions to “ REBA D ZILLER ORT/L” Practice Location

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