Individual
GABRIELLE KENDRA VAN SCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
374 KROGER WAY, VERSAILLES, KY 40383-1915
(859) 286-6848
Mailing address
145 VIRGINIA AVE APT 209, LEXINGTON, KY 40508-4011
(330) 998-3632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008705
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008705
KY STATE BOARD OF PHYSICAL THERAPY
KY
Enumeration date
09/08/2022
Last updated
11/21/2022
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