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Organization

ALGWYDON INC

Active
Other names
Physical Therapy WoRXs
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GWYNN P GANT PT (PRESIDENT)
(502) 350-0880
Entity
Organization

Contact information

Practice address
115 SOUTH SALEM DR, BARDSTOWN, KY 40004
(502) 350-0880
(502) 350-3640
Mailing address
115 SOUTH SALEM DR, BARDSTOWN, KY 40004
(502) 350-0880
(502) 350-3640

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87900320
KY
Enumeration date
02/15/2006
Last updated
08/22/2020
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