SAMANTHA WAMBLES WISE

LOUISVILLE, KY
NPI1457698870
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA5120)
Enumeration Date2013-01-04
Last Update Date2013-01-04
Business Address
-- SAMANTHA WAMBLES WISE LPTA
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE, KY 40222-5158
Phone number: 502-412-5847
Mailing Address
-- SAMANTHA WAMBLES WISE LPTA
765 HICKMAN AVE E
KINSTON, AL 36453-3414
Phone number: 334-897-8265
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