Provider Demographics
NPI:1336139781
Name:OWENS, JUNE (PT)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:OWENS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 THOMAS MORE PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5465
Mailing Address - Country:US
Mailing Address - Phone:859-344-6647
Mailing Address - Fax:859-344-6847
Practice Address - Street 1:350 THOMAS MORE PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5465
Practice Address - Country:US
Practice Address - Phone:859-344-6647
Practice Address - Fax:859-344-6847
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3639225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist