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1396414389
CHARITY FERTITTA
LOUISVILLE, KY
NPI
1396414389
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Former Name
CHARITY GOMEZ FERTITTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A04242)
Enumeration Date
2021-09-13
Last Update Date
2021-09-13
Business Address
CHARITY FERTITTA PTA
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
CHARITY FERTITTA PTA
7733 UPTON OXMOOR LN APT 209
LOUISVILLE, KY 40222-3435
Phone number: 225-485-2277
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