Individual
MRS. LYDIA PAULINE CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1300 CAMPBELL LN, BOWLING GREEN, KY 42104-4162
(270) 782-6900
Mailing address
1407 WOODBURN ALLEN SPRINGS RD, WOODBURN, KY 42170-9710
(270) 779-1574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
AO995
KY
Other
Enumeration date
05/30/2008
Last updated
11/21/2012
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