JACKIE TENCZA

LOUISVILLE, KY
NPI1952894412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: KY  TP2018074)
Enumeration Date2018-06-10
Last Update Date2018-06-10
Business Address
JACKIE TENCZA
4331 CHURCHMAN AVE STE 102
LOUISVILLE, KY 40215-1196
Phone number: 502-366-1773
Mailing Address
JACKIE TENCZA
8714 SUMMIT RIDGE DR
LOUISVILLE, KY 40241-1380
Phone number:
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