Individual
LILLIAN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7926 PRESTON HWY STE 101, LOUISVILLE, KY 40219-3848
(502) 964-5404
Mailing address
1709 ROOSEVELT AVE, LOUISVILLE, KY 40242-3557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007859
KY
225100000X
Physical Therapist
TP2019086
KY
Other
Enumeration date
09/25/2019
Last updated
10/31/2019
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