Individual
AUDREY MARIE BARICOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
616 EXECUTIVE PARK, LOUISVILLE, KY 40207-4206
(502) 896-9355
Mailing address
2224 LAUDERDALE RD APT 4, LOUISVILLE, KY 40205-1659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1253
KY
Other
Enumeration date
08/28/2017
Last updated
03/17/2018
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