Individual
FAITH C ROADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8726 US 42, FLORENCE, KY 41042-9625
(859) 301-2663
(859) 817-7848
Mailing address
3054 FENDER RD, MELBOURNE, KY 41059-9446
(859) 628-9926
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008515
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008515
KENTUCKY BOARD OF PHYSICAL THERAPY
KY
Enumeration date
05/26/2022
Last updated
05/26/2022
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