Individual
ANNETTE A STAMBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S. FLOYD ST., SUITE 801, LOUISVILLE, KY 40202
(502) 852-7049
(502) 852-7202
Mailing address
301 N BONNER AVE, LOUISVILLE, KY 40207-2248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002287
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2287
LICENSE NUMBER
KY
Enumeration date
03/01/2007
Last updated
07/08/2007
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