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Individual

MRS. AMBER MARIE LAUDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
4058 E MAIN ST, OTTAWA, OH 45875-8706
(419) 615-9562

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012120
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2251343
OH
Enumeration date
06/03/2008
Last updated
02/25/2013
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