Short Pediatric Pt, LLC
NPI #1053180026 in Bowling Green, Kentucky
Provider Information
- NPI Number
- 1053180026
- Entity Type
- Organization
- Organization Name
- Short Pediatric Pt, LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jan 1, 2024
- Last Updated
- Jan 4, 2024
Practice Location
- Address
- 241 RED MAPLE ST
- City
- Bowling Green
- State
- Kentucky
- ZIP Code
- 42101-7530
- Phone
- (859) 319-3693
Authorized Official
- Name
- HANNAH SHORT, DPT
- Title
- OWNER
- Phone
- (859) 319-3693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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