Individual
LISA DANIELLE WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
4108 CHENWOOD LN, LOUISVILLE, KY 40299-4058
(219) 628-4948
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006263
KY
Other
Enumeration date
08/03/2019
Last updated
08/03/2019
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