Individual
AMANDA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
4168 LAKESIDE DR, SELLERSBURG, IN 47172-1771
(502) 645-8295
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004640A
IN
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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