Basic Information
| Provider Information | |||||||||
| NPI: | 1003014176 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FREEMAN | ||||||||
| FirstName: | JOSEPH | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1010 MONARCH ST | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405131497 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592961696 | ||||||||
| FaxNumber: | 8592961676 | ||||||||
| Practice Location | |||||||||
| Address1: | 1010 MONARCH ST | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405131497 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592961696 | ||||||||
| FaxNumber: | 8592961676 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2007 | ||||||||
| LastUpdateDate: | 04/18/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | R2185 | KY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.