| Forward Motion Inc | |
|
2201 Goshen Ln Goshen KY 40026-9514 | |
| (502) 228-4040 | |
| (502) 290-0005 |
| Full Name | Forward Motion Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2201 Goshen Ln, Goshen, Kentucky |
| Authorized Official Name and Position | Ashley Marie Bowles (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 5023879079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Motion Inc Po Box 302 Goshen KY 40026-0302 Ph: (502) 228-4040 | Forward Motion Inc 2201 Goshen Ln Goshen KY 40026-9514 Ph: (502) 228-4040 |
| NPI Number | 1346494267 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 09/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346494267 | NPI | - | NPPES |
| 000000652652 | Other | KY | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5036 (Kentucky) | Primary |
| 225X00000X | Occupational Therapist | R3676 (Kentucky) | Secondary |