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Organization
RWW SENIOR LIVING OUTPATIENT REHAB SERVICES, LLC
Active
Organization
RWW SENIOR LIVING OUTPATIENT REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
2430 COUNTY ROAD 21 W, ST JOHNS, FL 32259
(904) 717-7782
Mailing address
805 N WHITTINGTON PKWY STE 400, LOUISVILLE, KY 40222-7102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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