Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Aug 29, 2012
License(s)
PT.013900 (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 303 N. HURSTBOURNE PARKWAY SUITE 200 PARAGON REHABILITATION | Louisville, KY 40222 | 502-412-5847 |
| MAILING | 211 WEST MAIN STREET APT #5 | Wapakoneta, OH 45895 |
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