Wilson Pediatric Therapy Llc

NPI 1063734333 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1063734333
Enumeration Date 02/26/2010
Last Updated 04/03/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name KRESTA LEIGH KRESTA
Position OWNER/SPEECH LANGUAGE PATHOLOGIST
Phone (859) 475-4305
Fax (877) 804-4492
Practice Location
175 WEST LOWRY LANE
SUITE 104
LEXINGTON KY, 40503, US
Phone (859) 475-4305
Fax (877) 804-4492
Business Location
175 WEST LOWRY LANE
SUITE 104
LEXINGTON KY, 40503, US
Phone (859) 475-4305
Fax (877) 804-4492
Toxanomy
Taxonomy Code 252Y00000X
License State Kentucky
License Number 2295
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According to our database, Wilson Pediatric Therapy Llc NPI is 1063734333, taxonomy code is 252Y00000X and license number is 2295, license state is located at Kentucky. Wilson Pediatric Therapy Llc physically located at 175 West Lowry Lane, Lexington KY, 40503. NPI Number 1033115704 has the healthcare provider type.

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1063734333 NPI number is provided on an as is basis without warranty of any kind. 1063734333 is maintained by the National Plan & Provider Enumeration System. The contents of Wilson Pediatric Therapy Llc are for informational purposes only.