Individual
LINDSAY ANN GARGOTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRACTICUM STUDENT
Contact information
Practice address
2805 WAREHAM RD, LOUISVILLE, KY 40242-4024
(502) 489-0956
Mailing address
2805 WAREHAM RD, LOUISVILLE, KY 40242-2445
(502) 489-0956
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
603
KY
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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