Individual
MRS. LYDIA LYNN WORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
303 N. HURSTBOURNE PARKWAY, SUITE 200, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
1100 MEADOW DR, OWOSSO, MI 48867-1429
(989) 277-8603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000529
MI
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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