Individual
FAITH VEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
3449 HEDGELY RD, SPRINGFIELD, OH 45506-3627
(937) 286-3389
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06672
OH
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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