Individual
MRS. SARA BETH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4747 ALBEN BARKLEY DR, PADUCAH, KY 42001-6789
(270) 444-9661
Mailing address
9715 ENLOW DR, KEVIL, KY 42053-9528
(270) 709-5195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03623
KY
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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