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1205359148
DALTON MATTHEW O'BRIEN
PROSPECT, KY
NPI
1205359148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 007186)
Enumeration Date
2017-07-24
Last Update Date
2021-05-24
Business Address
DALTON MATTHEW O'BRIEN DPT
6005 TIMBER RIDGE DR
PROSPECT, KY 40059-8134
Phone number: 502-292-0800
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Mailing Address
DALTON MATTHEW O'BRIEN DPT
175 S ENGLISH STATION RD STE 218
LOUISVILLE, KY 40245-4199
Phone number: 502-882-9379
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