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NPI Code Detail

MEDICARE: REBEKAH GOHANNA

MEDICARE: REBEKAH GOHANNA
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
1221700000XArt Therapist294575KY

General Provider Information

NPI Number : 1407772700
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH GOHANNA
Provider Business Mailing Address
First Line : 1028 BARRET AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40204-1667
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1028 BARRET AVE
Second Line :
City : LOUISVILLE
State : KY
Zip : 40204-1667
Country : US
Telephone Number : 502-289-5412
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2026
Last Update Date : 06/29/2026

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Directions to “ REBEKAH GOHANNA ” Practice Location

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