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Organization
RWW SENIOR LIVING OUTPATIENT REHAB SERVICES, LLC
Active
Organization
RWW SENIOR LIVING OUTPATIENT REHAB SERVICES, LLC
Active
Other names
Adoration Outpatient Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (PROVIDER ENROLLMENT SPECIALIST)
(502) 630-7494
Entity
Organization
Contact information
Practice address
200 TRADE ST, TARBORO, NC 27886-5025
(866) 808-4133
(866) 849-2728
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
08/14/2026
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