Individual
DR. CAROL ANN BRUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSRS
Contact information
Practice address
4251 SARON DR, LEXINGTON, KY 40515-7005
(859) 619-7665
Mailing address
105 BUENO XING, GEORGETOWN, KY 40324-7900
(859) 619-7665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006834
KY
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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