Individual
MARY MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2864 HIGHWAY 119 S, WHITESBURG, KY 41858-8710
(606) 312-1615
Mailing address
2864 HIGHWAY 119 S, WHITESBURG, KY 41858-8710
(606) 312-1615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011381A
IN
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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