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1114533692
MARY UNDERWOOD
LEXINGTON, KY
NPI
1114533692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A04134)
Enumeration Date
2020-09-19
Last Update Date
2020-09-19
Business Address
MARY UNDERWOOD
1096 WELLINGTON WAY STE 110
LEXINGTON, KY 40513-1200
Phone number: 850-303-6393
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Mailing Address
MARY UNDERWOOD
2109 PALOMAR TRACE DR
LEXINGTON, KY 40513-1120
Phone number: 859-492-2063
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