BOSTON HUNTER DEVORE

GLASGOW, KY
NPI1821836768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  a04587)
Enumeration Date2024-07-16
Last Update Date2024-07-16
Business Address
Mr. BOSTON HUNTER DEVORE PTA
109 HOMEWOOD BLVD
GLASGOW, KY 42141-3468
Phone number: 270-651-6126
Mailing Address
Mr. BOSTON HUNTER DEVORE PTA
3637 BRIDGEPORT RD
EDMONTON, KY 42129-8466
Phone number: 270-590-8801
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