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Individual

TOMMIE JO STROUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2406 LEWIS LN, OWENSBORO, KY 42301-4329
(859) 492-7379
Mailing address
2406 LEWIS LN, OWENSBORO, KY 42301-4329

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2064903
TX

Other

Enumeration date
11/09/2011
Last updated
11/09/2011
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