Individual
SERENITY SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
1315 FARM CREST DR APT 2B, MISHAWAKA, IN 46544-8000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004618A
IN
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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