Individual
MARY ANNETTE DAFFRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3831 NEEDLELEAF CT, OWENSBORO, KY 42301-8603
(270) 316-0852
Mailing address
3831 NEEDLELEAF CT, OWENSBORO, KY 42301-8603
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
06003775A
IN
208100000X
Physical Medicine & Rehabilitation Physician
A01566
KY
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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