Individual
BETH VANDIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
105 DANIEL DR, DANVILLE, KY 40422-2527
(859) 239-6670
Mailing address
2005 PERRYVILLE RD, HARRODSBURG, KY 40330-9629
(859) 734-5941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001053
KY
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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