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Individual

J.DYLAN JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
227 S MAIN ST, BEAVER DAM, KY 42320-2131
(270) 274-9221
Mailing address
PO BOX 445, HARTFORD, KY 42347-0445
(270) 274-9221
(270) 955-2003

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007425
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007425
KENTUCKY BOARD OF PHYSICAL THERAPY LICENSE NUMBER
KY
Enumeration date
08/01/2018
Last updated
08/01/2018
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