Individual
MRS. BRENDA HACKNEY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4895 PINE RIDGE DR, COLUMBUS, IN 47201-2569
(812) 342-3098
(812) 342-3288
Mailing address
4895 PINE RIDGE DR, COLUMBUS, IN 47201-2569
(812) 342-3098
(812) 342-3288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001004A
IN
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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