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Individual

BRIAN ALLEN WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1825 AIRPORT EXCHANGE BLVD, SUITE 100, ERLANGER, KY 41018-3117
(859) 647-6228
(859) 372-6350
Mailing address
1825 AIRPORT EXCHANGE BLVD, SUITE 100, ERLANGER, KY 41018-3117
(859) 647-6228
(859) 372-6350

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006078
KY

Other

Enumeration date
08/08/2012
Last updated
08/08/2012
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