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Organization

LAKE CUMBERLAND PEDIATRIC THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA C JONES PT (OWNER)
(606) 305-1358
Entity
Organization

Contact information

Practice address
67 JACKS LN, SOMERSET, KY 42501-6152
(606) 425-4371
Mailing address
67 JACKS LN, SOMERSET, KY 42501-6152
(606) 425-4371

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/18/2019
Last updated
08/11/2022
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