Healthcare Provider Details

I. General information

NPI: 1033937594
Provider Name (Legal Business Name): OPPORTUNITY CENTER OF OWENSBORO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 EAST BYERS AVE
OWENSBORO KY
42303
US

IV. Provider business mailing address

PO BOX 1833
OWENSBORO KY
42302-1833
US

V. Phone/Fax

Practice location:
  • Phone: 270-645-5004
  • Fax:
Mailing address:
  • Phone: 270-645-5004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: ROSEMARY CONDER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 270-645-5004