Provider Demographics
NPI:1629610787
Name:LK THERAPY PT, OT AND SLP PLLC
Entity Type:Organization
Organization Name:LK THERAPY PT, OT AND SLP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURYN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:845-697-5064
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:SLATE HILL
Mailing Address - State:NY
Mailing Address - Zip Code:10973-0158
Mailing Address - Country:US
Mailing Address - Phone:845-697-5064
Mailing Address - Fax:
Practice Address - Street 1:34 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4123
Practice Address - Country:US
Practice Address - Phone:845-341-8817
Practice Address - Fax:845-697-5064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management