Individual
JULIE NICOLE SERGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2801 HEATHER GREEN BLVD, LA GRANGE, KY 40031-6722
(502) 802-0156
Mailing address
2801 HEATHER GREEN BLVD, LA GRANGE, KY 40031-6722
(502) 802-0156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005404
KY
Other
Enumeration date
07/20/2009
Last updated
10/28/2013
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