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Individual

MRS. JORDAN D AZINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2116 BUECHEL BANK RD, LOUISVILLE, KY 40218-3521
(502) 488-9383
Mailing address
9903 CLUB SPRINGS WAY UNIT 104, LOUISVILLE, KY 40291-4216
(502) 572-4735

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
T1606
KY

Other

Enumeration date
05/16/2016
Last updated
05/16/2016
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