Organization
WIDELO KIDS THERAPY LLC
Active
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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