Organization
ASSOCAITES IN PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE BURNETT (OFFICE MANAGER)
(502) 633-1007
Entity
Organization
Contact information
Practice address
529 WESTPORT RD STE 104, ELIZABETHTOWN, KY 42701-2923
(502) 633-1007
(502) 437-0624
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 437-0624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
07/29/2021
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