Individual
MRS. SANDRA MEADOWS MILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5920 TIMBER RIDGE DR STE 201, PROSPECT, KY 40059-8151
(502) 451-2142
(502) 451-2740
Mailing address
5920 TIMBER RIDGE DR STE 201, PROSPECT, KY 40059-8151
(502) 451-2142
(502) 451-2740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1904
KY
2251P0200X
Pediatric Physical Therapist
Primary
001904
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1463
CBIS PROVIDER NUMBER
KY
Enumeration date
02/06/2007
Last updated
04/01/2020
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