Basic Information
Provider Information
NPI: 1801096839
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRY
FirstName: RHONDA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: OT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 950202
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402950202
CountryCode: US
TelephoneNumber: 5029696552
FaxNumber: 5029693799
Practice Location
Address1: 315 E BROADWAY STE 195
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402023700
CountryCode: US
TelephoneNumber: 5026294263
FaxNumber: 5026294283
Other Information
ProviderEnumerationDate: 07/18/2007
LastUpdateDate: 03/31/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XR0929KYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

ID Information
IDTypeStateIssuerDescription
5002144501KYPASSPORT- LOUISVILLE ARM AND HANDOTHER
R092901KYKY LICENSEOTHER
00000052894401KYANTHEM- NORTONOTHER
20089514001KYMD WISE- LOUISVILLE ARM AND HANDOTHER
298958101KYCIGNA- NORTONOTHER
710003727001KYMEDICAID KY- NORTON LAHOTHER
000023028N01KYHUMANA- NORTONOTHER
355275000001KYPASSPORT ADVANTAGE- LOUISVILLE ARM AND HANDOTHER
20089514001INMEDICAID - NORTON LAHOTHER


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