OrganizationActive
Integrated Therapy Associates, LLC
NPI 1639921133 · Pediatric Occupational Therapist · Bowling Green, KY
Provider details
- NPI number
- 1639921133
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Amy Lupardus, Owner(229) 854-7216
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
84 Trapper Way
Bowling Green, KY 42103
Phone: (229) 854-7216
Approximate (ZIP-level) locationGet directions
Mailing address
84 Trapper Way
Bowling Green, KY 42103
Registry dates
- Enumerated
- 2024-04-05
- Last updated
- 2024-04-10
- Certified
- 2024-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.