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JEFFERSONTOWN PHYSICAL THERAPY LLC

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist

Provider NPI: 1124029996

Organization Information:
Organization Name:  JEFFERSONTOWN PHYSICAL THERAPY LLC
Organization is not Subpart
Authorized Official:  MICHAEL E. TARVIN  VICE PRESIDENT  717-972-1100

Practice Location:
2152 S HURSTBOURNE PKWY  LOUISVILLE, KY 40220-1622 US
Tel: 502-449-0107  Fax: 502-499-0535

Business Mailing Address:
4714 GETTYSBURG RD LEGAL DEPARTMENT MECHANICSBURG, PA 17055-4325 US
Tel: 717-972-1100  Fax: 717-975-9981

NPI Information:
NPI: 1124029996
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
Y261QP2000XAmbulatory Health Care Facilities
Clinic/Center
KY

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QP2000X

Type:

Classification:



Definition:



MEDICAL JOBS KY - Page 1

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