Individual
LINDA FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITEM200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
6658 E MOUNT EDEN RD, SCOTTSBURG, IN 47170-5308
(812) 752-6434
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004097A
IN
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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