Petula Ethel Dobbs, D.I.

Individual provider Active NPI Developmental Therapist · Frankfort, KY

NPI 1992084826 · NPPES record last updated Aug 9, 2011

Key facts

NPI
1992084826
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
License
201128735 (KY)
Practice address
275 E Main Street HS2W C
Frankfort, KY 40621-0001
Phone
(502) 564-3756
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
201128735KYMDDevelopmental Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 201128735 KY Yes

Addresses

Primary practice location

275 E Main Street HS2W C
Frankfort, KY 40621-0001

Mailing address

PO Box 1005
Stearns, KY 42647-1005
Phone (606) 376-4479

Other providers in Frankfort, KY

All providers in Frankfort, KY · Developmental Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.