Individual
ALEXANDER TSIPORENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9118 HARRODSBURG RD, WILMORE, KY 40390-9752
(859) 858-3831
Mailing address
9118 HARRODSBURG RD, WILMORE, KY 40390-9752
(859) 858-3831
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02588
KY
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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