Individual
DEBORAH EASTERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
642 N 3RD ST, DANVILLE, KY 40422-1125
(859) 236-3972
Mailing address
1514 HIGHWAY 1676, SCIENCE HILL, KY 42553-6016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A00653
KY
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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