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1467061713
DEBORAH S KOTTAK
CRESTWOOD, KY
NPI
1467061713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY A02402)
Enumeration Date
2020-07-23
Last Update Date
2020-07-23
Business Address
Mrs. DEBORAH S KOTTAK PTA
5502 CLOVER RIDGE DR
CRESTWOOD, KY 40014-9219
Phone number: 502-210-3414
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Mailing Address
Mrs. DEBORAH S KOTTAK PTA
5502 CLOVER RIDGE DR
CRESTWOOD, KY 40014-9219
Phone number: 502-210-3414
Copy
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