Individual
HONEYLYN GANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
102 ELM ST APT 4, LAWRENCEBURG, IN 47025-2305
(702) 752-8569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011599A
IN
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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