Organization
SHORT PEDIATRIC PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH SHORT DPT (OWNER)
(859) 319-3693
Entity
Organization
Contact information
Practice address
241 RED MAPLE ST, BOWLING GREEN, KY 42101-7530
(859) 319-3693
Mailing address
241 RED MAPLE ST, BOWLING GREEN, KY 42101-7530
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/01/2024
Last updated
01/04/2024
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