| |
2152 S Hurstbourne Pkwy, Louisville, KY 40220-1622 | |
(502) 449-0107 | |
(502) 499-0535 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 2152 S Hurstbourne Pkwy, Louisville, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124029996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
4714 Gettysburg Rd, Legal Department, Mechanicsburg, PA 17055-4325 Ph: (717) 972-1100 | 2152 S Hurstbourne Pkwy, Louisville, KY 40220-1622 Ph: (502) 449-0107 |