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Individual

MRS. JESSICA L HOBACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2141 SYCAMORE AVENUE, LOUISVILLE, KY 40206
(502) 384-9052
(502) 384-9053
Mailing address
2141 SYCAMORE AVENUE, LOUISVILLE, KY 40206
(502) 384-9052
(502) 384-9053

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02418
KY

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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