Provider Demographics
NPI:1730371378
Name:ZERO2THREE PEDIATRIC REHAB SERVICES
Entity type:Organization
Organization Name:ZERO2THREE PEDIATRIC REHAB SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:606-305-7972
Mailing Address - Street 1:1118 HEARTLAND DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-6297
Mailing Address - Country:US
Mailing Address - Phone:606-305-7972
Mailing Address - Fax:606-678-2004
Practice Address - Street 1:1118 HEARTLAND DR
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-6297
Practice Address - Country:US
Practice Address - Phone:606-305-7972
Practice Address - Fax:606-678-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYN/A251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management