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Individual

ANDREA DISTLER LAMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3626 GRANT LINE RD STE 105, NEW ALBANY, IN 47150-2399
(812) 944-1377
Mailing address
3626 GRANT LINE RD STE 105, NEW ALBANY, IN 47150-2399

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008055
KY
225100000X
Physical Therapist
Primary
05015556A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008055
KY PT LICENSE
KY
Enumeration date
06/08/2020
Last updated
03/18/2025
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