Individual
MS. JANE ELLEN SHOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05000778A
IN
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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