Individual
MRS. PATRICIA HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
376 MANCHESTER SQUARE, MANCHESTER, KY 40962-9998
(606) 598-7673
(606) 598-7948
Mailing address
20 HACKER FARM RD, MANCHESTER, KY 40962
(606) 598-7446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
A00914
KY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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