Organization
WIDELO KIDS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LOUISE WIDELO DPT (DOCTOR OF PHYSICAL THERAPY)
(859) 749-9305
Entity
Organization
Contact information
Practice address
340 GREENING LN, WINCHESTER, KY 40391-8644
(859) 749-9305
Mailing address
PO BOX 4561, WINCHESTER, KY 40392-4561
(859) 749-9305
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
KY
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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