JANICE GWEN DERRICKSON

LEXINGTON, KY
NPI1326128398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  003876)
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
Dr. JANICE GWEN DERRICKSON P.T.
1305 MUMFORD LN
LEXINGTON, KY 40513-1743
Phone number: 859-224-2309
Mailing Address
Dr. JANICE GWEN DERRICKSON P.T.
1305 MUMFORD LN
LEXINGTON, KY 40513-1743
Phone number: 859-224-2309
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