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NPI Code Detail

MEDICARE: H2 REHABILITATION SERVICES OF KENTUCKY, LLC

MEDICARE: H2 REHABILITATION SERVICES OF KENTUCKY, LLC
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 Therapist
2261QR0400XRehabilitation Clinic/Center100888KY

General Provider Information

NPI Number : 1730131632
Entity Type Code : Organization
Provider Name (Legal Business Name) : H2 REHABILITATION SERVICES OF KENTUCKY, LLC
Provider Business Mailing Address
First Line : PO BOX 932184
Second Line :
City : ATLANTA
State : GA
Zip : 31193-4912
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8109 ALEXANDRIA PIKE
Second Line : SUITE 4
City : ALEXANDRIA
State : KY
Zip : 41001-2150
Country : US
Telephone Number : 859-635-6500
Fax Number : 859-635-6148
Authorized Official
Title or Position : VICE PRESIDENT
Name : AMANDA STREETER
Credential :
Telephone Number : 800-699-9395
Provider Enumeration Date : 05/17/2006
Last Update Date : 11/24/2023

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Directions to “H2 REHABILITATION SERVICES OF KENTUCKY, LLC ” Practice Location

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