Individual
SAMANTHA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
700 MASON HEADLEY RD, LEXINGTON, KY 40504-2326
(859) 259-3486
Mailing address
108 DOE CT, GEORGETOWN, KY 40324-8077
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001638
KY
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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