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1194453217
ALLISON PARK
PROSPECT, KY
NPI
1194453217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A04174)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
Mrs. ALLISON PARK PTA
9300 CIVIC WAY
PROSPECT, KY 40059-6619
Phone number: 502-233-3855
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Mailing Address
Mrs. ALLISON PARK PTA
9018 BRANDYWYNE DR
LOUISVILLE, KY 40291-1361
Phone number: 270-205-0753
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