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Individual

BETHANY WOODARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4604 LOWE RD, LOUISVILLE, KY 40220-1514
(502) 451-1401
Mailing address
13610 TERRACE CREEK DR APT 201, LOUISVILLE, KY 40245-5856
(931) 374-2755

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03365
KY

Other

Enumeration date
10/27/2017
Last updated
10/27/2017
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