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Individual

AMANDA L TOLLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
1400 CUMBERLAND FALLS HWY STE C, CORBIN, KY 40701-2739
(606) 528-2149
(606) 528-2338
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4914

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004366
KY

Other

Enumeration date
06/28/2019
Last updated
06/28/2019
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