Provider Demographics
NPI:1003014176
Name:FREEMAN, JOSEPH (OTR/L)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 MONARCH ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1497
Mailing Address - Country:US
Mailing Address - Phone:859-296-1696
Mailing Address - Fax:859-296-1676
Practice Address - Street 1:1010 MONARCH ST
Practice Address - Street 2:SUITE 110
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1497
Practice Address - Country:US
Practice Address - Phone:859-296-1696
Practice Address - Fax:859-296-1676
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR2185225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist