LISSETH CORINA BEDIAKO

LOUISVILLE, KY
NPI1780093427
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MA  8901)
Enumeration Date2014-08-06
Last Update Date2014-08-06
Business Address
-- LISSETH CORINA BEDIAKO PTA
303 N HURSTBOURNE PKWY SUITE 200
LOUISVILLE, KY 40222-5185
Phone number: 502-412-5847
Mailing Address
-- LISSETH CORINA BEDIAKO PTA
15 ELM ST APT 1
SOMERVILLE, MA 02143-2230
Phone number: 847-322-5898
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