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KENTUCKY ORTHOPEDIC REHABILITATION LLC

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist

Provider NPI: 1912907924

Organization Information:
Organization Name:  KENTUCKY ORTHOPEDIC REHABILITATION LLC
Organization is not Subpart
Authorized Official:  MICHAEL E. TARVIN  VICE PRESIDENT  717-972-1100

Practice Location:
101 EASTSIDE DR SUITE A GEORGETOWN, KY 40324-8763 US
Tel: 502-867-0111  Fax: 502-867-0041

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

NPI Information:
NPI: 1912907924
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
N261QP2000XAmbulatory Health Care Facilities
Clinic/Center
KY
Y261QR0400XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 261QR0400X

Type:

Classification:



Definition:



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