OrganizationActive
Clark Regional Medical Center
NPI 1619156403 · Pediatric Occupational Therapist · Winchester, KY
Provider details
- NPI number
- 1619156403
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Robert Fraraccio, Ceo(859) 745-3500
- License
- 100073 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1107 W Lexington Ave
Winchester, KY 40391-1169
Phone: (859) 745-3500
Fax: (859) 745-3450
Approximate (ZIP-level) locationGet directions
Mailing address
1107 W Lexington Ave
Winchester, KY 40391-1169
Registry dates
- Enumerated
- 2007-10-29
- Last updated
- 2007-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.