Organization
FAMILY FIRST PEDIATRIC THERAPY LLC
Active
Organization
FAMILY FIRST PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN ANDERSON (MEMBER)
(502) 373-9597
Entity
Organization
Contact information
Practice address
1109 METALWOOD DR, BARDSTOWN, KY 40004-2635
(502) 373-9597
Mailing address
1109 METALWOOD DR, BARDSTOWN, KY 40004-2635
(502) 373-9597
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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