Organization
LAKE CUMBERLAND THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNFIER ANNETTE BAKER (PRESIDENT/DEVELOPMENTAL THERAPIST)
(606) 219-3155
Entity
Organization
Contact information
Practice address
153 HIGH STREET, MONTICELLO, KY 42633
(606) 219-3155
(606) 348-7241
Mailing address
153 HIGH STREET, MONTICELLO, KY 42633
(606) 219-3155
(606) 348-7241
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
11/04/2019
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