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1053180026
SHORT PEDIATRIC PT, LLC
BOWLING GREEN, KY
NPI
1053180026
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Entity Type
Organization
Authorized Contact
HANNAH SHORT
Owner
859-319-3693
Organization Subpart ?
No
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
Enumeration Date
2024-01-01
Last Update Date
2024-01-04
Business Address
SHORT PEDIATRIC PT, LLC
241 RED MAPLE ST
BOWLING GREEN, KY 42101-7530
Phone number: 859-319-3693
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Mailing Address
SHORT PEDIATRIC PT, LLC
241 RED MAPLE ST
BOWLING GREEN, KY 42101-7530
Phone number:
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