NPI 1316396815
Pediatric Rehab
Practice location
- Address
- 5286 Parkside Dr, Paducah, KY 42001-7466
- Phone
- (270) 994-7751
Authorised official
- Name
- Libby Ann Bobo
- Title
- President
- Phone
- (270) 994-7751
Registered specialties
Early Intervention Provider Agency
Primary
Registry record
- NPI
- 1316396815
- Entity type
- Organization
- NPI issued
- 7 Jun 2016
- Record last updated
- 7 Jun 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.