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Individual

MRS. ERNESTINE C BRASHEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
193 GLADES RD, BEREA, KY 40403-1369
(859) 986-1055
(859) 986-1002
Mailing address
3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1333
(418) 537-0764
(419) 537-0948

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000834
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87008348
KY
Enumeration date
06/21/2006
Last updated
09/20/2010
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