Individual
CAROLYN N PARRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4042 DUTCHMANS LN, LOUISVILLE, KY 40207-4712
(502) 899-9363
(502) 899-9365
Mailing address
4042 DUTCHMANS LN, LOUISVILLE, KY 40207-4712
(502) 899-9363
(502) 899-9365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001717
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230405
ANTHEM
—
Enumeration date
10/04/2005
Last updated
05/12/2010
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