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1477083004
BEAU ALSTATT
LOUISVILLE, KY
NPI
1477083004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A00809)
Enumeration Date
2017-06-15
Last Update Date
2017-06-15
Business Address
BEAU ALSTATT PTA
9127 GALENE DR
LOUISVILLE, KY 40299-1579
Phone number: 502-896-8147
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Mailing Address
BEAU ALSTATT PTA
330 TWELVE OAKS DR
MOUNT WASHINGTON, KY 40047-7232
Phone number:
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