Individual
MR. AGRIPINO LATANAFRANCIA SOLDEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1561 NEWTON AVE, BOWLING GREEN, KY 42104-3238
(270) 842-1611
Mailing address
619 CROSSINGS CT, BOWLING GREEN, KY 42104-5465
(270) 320-5949
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004362
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185224
—
KY
Enumeration date
07/02/2007
Last updated
07/08/2007
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