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NPI Code Detail

MEDICARE: MRS. RITA S BROWN OTR/L, CHT

MEDICARE: MRS. RITA S BROWN OTR/L, CHT
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
1225XH1200XHand Occupational TherapistR3404KY
2225XH1200XHand Occupational Therapist135474KY
3225X00000XOccupational Therapist135474KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K024110OTHERKYMEDICARE PTAN

General Provider Information

NPI Number : 1548255227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RITA S BROWN OTR/L, CHT
Provider Business Mailing Address
First Line : 3480 YORKSHIRE MEDICAL PARK
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1886
Country : US
Telephone Number : 859-263-5140
Fax Number : 859-263-5141
Provider Business Practice Location Address
First Line : 3480 YORKSHIRE MEDICAL PARK
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-1886
Country : US
Telephone Number : 859-263-5140
Fax Number : 859-263-5141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 03/31/2021

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