Individual
CHARLENE MARIE BETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
2132 CHERRY PARK, LEBANON, IN 46052-4081
(765) 482-2076
(765) 482-2082
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002297A
IN
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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