Individual
TRISHA LANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
610 BUTCHER BLVD, LOOGOOTEE, IN 47553-3602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004117A
IN
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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