Individual
JULIE MANGEOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5405 KILLINUR DR, PROSPECT, KY 40059-9555
(502) 526-3828
Mailing address
5405 KILLINUR DR, PROSPECT, KY 40059-9555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002390
KY
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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