Individual
DARLENE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 CANOE RD, JACKSON, KY 41339-8458
(606) 568-2980
Mailing address
2700 CANOE RD, JACKSON, KY 41339-8458
(606) 568-2980
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02202
KY
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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