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Individual

MISS TONYA RENEE ESTEP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3104 PINE TOP RD, LONDON, KY 40741-6202
(606) 862-8333
(606) 862-8618
Mailing address
3104 PINE TOP RD, LONDON, KY 40741-6202
(606) 862-8333
(606) 862-8618

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004016
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
320005165
TAX IDENTIFICATION NUMBER
KY
05
87000741
KY
Enumeration date
01/17/2007
Last updated
03/27/2019
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