Individual
REGINA LYNN ALFRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
750 CYPRESS STATION DR, LOUISVILLE, KY 40207-5142
(502) 896-3900
(502) 515-1263
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4754
KY
2251X0800X
Orthopedic Physical Therapist
004754
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004754
STATE LICENSE
KY
Enumeration date
12/03/2008
Last updated
12/10/2020
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