Individual
MRS. HOLLY PAIGE FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6193 RIDGEWOOD CT, FLORENCE, KY 41042-9777
(859) 647-0304
(859) 647-4052
Mailing address
6193 RIDGEWOOD CT, FLORENCE, KY 41042-9777
(859) 647-0304
(859) 647-4052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004186
KY
Other
Enumeration date
03/03/2007
Last updated
07/08/2007
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