| NPI | 1568732758 | 
|---|---|
| Doing Business As | EASTERSEALS REDWOOD | 
| Entity Type | Organization | 
| Authorized Contact | PAM GREEN CEO 859-331-0880 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY 100464) | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| 104100000X Social Worker (Licence: KY 100464) | |
| 222Q00000X Developmental Therapist (Licence: KY 100464) | |
| 224Z00000X Occupational Therapy Assistant (Licence: KY 100464) | |
| 225100000X Physical Therapist (Licence: KY 100464) | |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner (Licence: KY 100464) | |
| 225X00000X Occupational Therapist (Licence: KY 100464) | |
| Enumeration Date | 2012-01-05 | 
| Last Update Date | 2024-09-16 |