Individual
ERIN E FIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 897-0093
Mailing address
4130 DUTCHMANS LN, SUITE 300, LOUISVILLE, KY 40207-4713
(502) 897-1794
(502) 897-0093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100144310
—
KY
Enumeration date
11/08/2005
Last updated
03/30/2011
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