| Diplomat Physical Therapy Clinic Llc | |
|
4400 Breckenridge Ln Ste 300b Louisville KY 40218-4129 | |
| (502) 749-6411 | |
| (502) 749-6413 |
| Full Name | Diplomat Physical Therapy Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4400 Breckenridge Ln Ste 300b, Louisville, Kentucky |
| Authorized Official Name and Position | Andrew Morrice Nankwenya (OWNER) |
| Authorized Official Contact | 5027121749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diplomat Physical Therapy Clinic Llc 4400 Breckenridge Ln Ste 300b Louisville KY 40218-4129 Ph: (502) 749-6411 | Diplomat Physical Therapy Clinic Llc 4400 Breckenridge Ln Ste 300b Louisville KY 40218-4129 Ph: (502) 749-6411 |
| NPI Number | 1427726108 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427726108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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