Individual
DARNELL FLETCHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
11519 WILLOW STREAM CT APT 304, LOUISVILLE, KY 40299-5988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03429
KY
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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