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Individual

BECKY GAY HOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4813 TAYLORSVILLE RD, TAYLORSVILLE, KY 40071
(502) 477-0300
(502) 477-0303
Mailing address
4813 TAYLORSVILLE RD, TAYLORSVILLE, KY 40071
(502) 477-0300
(502) 477-0303

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002629
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87000709
KY
Enumeration date
04/10/2007
Last updated
07/08/2007
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