Dovetail Therapy, PLLC
Organization Active NPI Rehabilitation Clinic/Center · Radcliff, KY
NPI 1720486012 · NPPES record last updated Jan 23, 2015
Key facts
- NPI
- 1720486012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- License
- BOTOCT (KY)
- Legal business name
- DOVETAIL THERAPY, PLLC
- Practice address
- 645 Knox Blvd
Radcliff, KY 40160-1514 - Phone
- (270) 351-2224
- Fax
- (502) 849-1279
- NPI assigned
- Dec 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Robin Carol Abbott, OTR/L
- Title
- Occupational Therapist/Owner
- Phone
- (270) 351-2224
Practitioners 2
-
Abby Suzanne Peak, OTR/L
-
Amanda Schneider, MS, OTR/L
National Provider Directory
Locations
645 Knox Blvd
Radcliff, KY 40160
Phone (270) 351-2224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist |
225XP0200X | BOTOCT00210728 | KY | |
| Early Intervention Provider Agency | 252Y00000X | BOTOCT00210728 | KY | |
| Rehabilitation Clinic/Center | 261QR0400X | BOTOCT | KY | Yes |
Addresses
Primary practice location
645 Knox Blvd
Radcliff, KY 40160-1514
Mailing address
PO Box 558
Radcliff, KY 40159-0558
Phone (270) 351-2224
Other names
- Dovetail Pediatric Therapy
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.