| NPI | 1720486012 |
|---|---|
| Other Name | DOVETAIL PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | ROBIN CAROL ABBOTT Occupational Therapist/Owner 270-351-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: KY BOTOCT) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY BOTOCT00210728) |
| 252Y00000X Early Intervention Provider Agency (Licence: KY BOTOCT00210728) | |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2015-01-23 |