Louisville Pediatric Therapy Center, INC.
Clinic/Center in Louisville, KY. Organization (NPI-2).
NPI number1699112623
StatusActive
Last updated in NPPESApr 23, 2015
Details
- NPI
- 1699112623
- Entity type
- Organization (NPI-2)
- Legal business name
- Louisville Pediatric Therapy Center, INC.
- Organization subpart
- No
- Enumeration date
- May 31, 2013
- Last updated
- Apr 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 100501 | KY | Yes |
| 225X00000X | Occupational Therapist | 100501 | KY | |
| 235Z00000X | Speech-Language Pathologist, | 100501 | KY |
Practice location
9810 Bluegrass PkwyLouisville, KY 40299-1906
Phone 502-584-9781 · Fax 502-589-2409
Mailing address
9810 Bluegrass PkwyLouisville, KY 40299-1906
Phone 502-584-9781 · Fax 502-589-2409
Authorized official
Lauren Smith
Director Of Operations
5025849781
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