# UNIVERSITY OF LOUISVILLE REHABILITATION FACULTY GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Advanced Rehabiliation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023307592
- **Authorized official:** MR. JONATHAN HODES MD (PRESIDENT)
- **Authorized official phone:** (502) 899-3623

## Contact information

- **Practice address:** 3900 KRESGE WAY, STE \#41, LOUISVILLE, KY 40207-4660
- **Practice address phone:** (502) 899-3623
- **Practice address fax:** (502) 899-7970
- **Mailing address:** 3900 KRESGE WAY, STE \#41, LOUISVILLE, KY 40207-4660
- **Mailing address phone:** (502) 899-3623
- **Mailing address fax:** (502) 899-7970

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 24102 | KY | Yes |

## Other

- **Enumeration date:** 04/05/2011
- **Last updated:** 04/05/2011