Individual
BILLIE ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1270 RT. FK. MONTGOMERY CREEK RD., VICCO, KY 41773
(606) 233-2095
Mailing address
PO BOX 518, VICCO, KY 41773-0518
(606) 476-9231
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/14/2014
Last updated
05/29/2019
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