Organization
LOUISVILLE PEDIATRIC THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN SMITH (DIRECTOR OF OPERATIONS)
(502) 584-9781
Entity
Organization
Contact information
Practice address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 584-9781
(502) 589-2409
Mailing address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 584-9781
(502) 589-2409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
100501
KY
235Z00000X
Speech-Language Pathologist
100501
KY
261Q00000X
Clinic/Center
Primary
100501
KY
Other
Enumeration date
05/31/2013
Last updated
04/23/2015
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