Wilson Pediatric Therapy LLC

NPI #1063734333 in Lexington, Kentucky

Provider Information

NPI Number
1063734333
Entity Type
Organization
Organization Name
Wilson Pediatric Therapy LLC
Primary Specialty
Early Intervention Provider Agency
Enumeration Date
Feb 26, 2010
Last Updated
Sep 24, 2020

Practice Location

Address
424 LEWIS HARGETT CIR # B-100
ZIP Code
40503-3688
Phone
(859) 475-4305

Authorized Official

Name
MRS. KRESTA LEIGH WILSON, M.S. CCC-SLP
Title
OWNER/SPEECH LANGUAGE PATHOLOGIST
Phone
(859) 806-5717

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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