Individual
MARY ANGELIQUE KLONDIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3594 SPRINGHURST BLVD, LOUISVILLE, KY 40241-4141
(502) 339-4700
(502) 339-7050
Mailing address
8004 ASHDOWNE CT, PROSPECT, KY 40059-9430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00183
KY
Other
Enumeration date
09/20/2012
Last updated
09/27/2012
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