Individual
FATIMA MEG MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12613 TAYLORSVILLE RD STE 118, LOUISVILLE, KY 40299-5496
(502) 267-1480
Mailing address
12613 TAYLORSVILLE RD STE 118, LOUISVILLE, KY 40299-5496
(502) 267-1480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008890
KY
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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