Kerry Dianne Minderman

NPI #1942861117 in La Grange, Kentucky

Provider Information

NPI Number
1942861117
Entity Type
Individual
Name
Kerry Dianne Minderman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Developmental Therapist
Enumeration Date
Jun 27, 2019
Last Updated
Apr 8, 2020

Practice Location

Address
4603 TIMBERWALK CT
ZIP Code
40031-6746
Phone
(703) 864-6695

Specialties & Taxonomy Codes

Specialty
Developmental Therapist

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