Pediatric Therapy Associates
Speech-Language Pathologist, in Louisville, KY. Organization (NPI-2).
NPI number1407976327
StatusActive
Last updated in NPPESJun 20, 2008
Details
- NPI
- 1407976327
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Therapy Associates
- Organization subpart
- No
- Enumeration date
- Apr 2, 2007
- Last updated
- Jun 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 22001261A | IN | Yes |
Practice location
2001 Long Knife CtLouisville, KY 40207-1176
Phone 502-797-1371 · Fax 502-721-6132
Mailing address
2001 Long Knife CtLouisville, KY 40207-1176
Phone 502-797-1371 · Fax 502-721-6132
Authorized official
Mary B Gorin
Owner
5027971371
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