RODOLFO TOM DORANTES

PROSPECT, KY
NPI1740056324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  PTA02228)
Enumeration Date2023-11-27
Last Update Date2023-11-27
Business Address
RODOLFO TOM DORANTES
10301 CONEFLOWER LN
PROSPECT, KY 40059-8355
Phone number: 502-290-6706
Mailing Address
RODOLFO TOM DORANTES
427 HARRIS PL
LOUISVILLE, KY 40222-6701
Phone number: 502-649-3504
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