Individual
MRS. SUSAN BATES PARDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0498
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 780-0498
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002824
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000650014
ANTHEM
KY
01
—
1533
FIRST STEPS
KY
Enumeration date
02/22/2007
Last updated
07/02/2014
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