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1548752330
AMANDA BASTIEN
LOUISVILLE, KY
NPI
1548752330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 007422)
Enumeration Date
2018-06-06
Last Update Date
2021-09-20
Business Address
AMANDA BASTIEN
2011 GRINSTEAD DR UNIT 101
LOUISVILLE, KY 40204-1296
Phone number: 502-813-7838
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Mailing Address
AMANDA BASTIEN
PO BOX 306393
NASHVILLE, TN 37230-6393
Phone number: 615-373-1350
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