Individual
REGAN BREAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40214
(502) 361-2301
(502) 366-9779
Mailing address
3603 MARLIN DR, LOUISVILLE, KY 40299-3532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03216
KY
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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