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Organization

LIGHT THE WAY PEDIATRIC THERAPY SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA LYNN LYNCH (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(862) 268-6139
Entity
Organization

Contact information

Practice address
107 MANOR AVE STE 204, BARDSTOWN, KY 40004-2800
(502) 233-1305
(502) 509-0612
Mailing address
130 CHESTER HAHN RD, BLOOMFIELD, KY 40008-7014
(862) 268-6139

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100719410
KY
Enumeration date
07/30/2019
Last updated
04/21/2021
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