Individual
JEAN F DEIGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 GAGEL AVE, LOUISVILLE, KY 40216-4012
(502) 368-5827
Mailing address
2612 MEADOW RD, LOUISVILLE, KY 40205-2222
(502) 314-5083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003427
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003427
KENTUCKY LICENSE
KY
Enumeration date
02/27/2019
Last updated
02/27/2019
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