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Organization

TINY TOTS THERAPY, LLC

Active
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Organization

TINY TOTS THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNA LYNN CONWAY BINGHAM CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(502) 216-4793
Entity
Organization

Contact information

Practice address
3501 MARLIN DR, LOUISVILLE, KY 40299-3530
(502) 216-4793
Mailing address
3501 MARLIN DR, LOUISVILLE, KY 40299-3530
(502) 216-4793

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
02/15/2023
Last updated
02/22/2023
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