Cristy Lynn Roark in London - Developmental Therapist

Cristy Lynn Roark - NPI 1124206172

Cristy Lynn Roark is a Developmental Therapist in London, Kentucky. Cristy Lynn Roark practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Cristy Lynn Roark is 1124206172. The last update date is 2008-02-01.

Cristy Lynn Roark's current location address is 3086 Pine Top Rd, London, Kentucky. You can contact this provider via phone number 6068130265 and fax number 6068779712. The mailing address for Cristy Lynn Roark is 3086 Pine Top Rd, London, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Cristy Lynn Roark
Address 3086 Pine Top Rd, London, Kentucky
Phone Number 6068130265
Fax Number 6068779712
Sole Proprietor Y
Credentials DI

NPI Number Detail

NPI Number 1124206172
Provider Enumeration Date 2008-02-01
Last Updated Date 2008-02-01

Provider Mailing Address Detail

Address 3086 Pine Top Rd
City London
State Kentucky (KY)
Post Code 407419247
Phone Number 6068130265
Fax Number 6068779712

Provider's Primary Taxonomy Detail

Speciality Developmental Therapist
Taxonomy 222Q00000X
Definition:
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education

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FAQs about Cristy Lynn Roark

What is the unique identifier code issued to Cristy Lynn Roark by the Centers for Medicare & Medicaid Services?

The Cristy Lynn Roark has been assigned the NPI (National Provider Identifier) 1124206172. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Cristy Lynn Roark's facilities are geographically located?

The facilities of Cristy Lynn Roark are physically situated at the following location: 3086 Pine Top Rd, London, KY, 407419247.

What is Cristy Lynn Roark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Cristy Lynn Roark is Developmental Therapist, and the taxonomy code that classifies this field of practice is 222Q00000X.

On what date was the 1124206172 assigned to Cristy Lynn Roark?

The Cristy Lynn Roark was issued its 1124206172 on 2008-02-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Cristy Lynn Roark most recently updated or revised?

The details related to Cristy Lynn Roark, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-01.

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