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Organization
PHYSIATRIC ASSOCIATES INC
Active
Organization
PHYSIATRIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN GRAY (CLIENT SERVICES MANAGER)
(513) 965-8041
Entity
Organization
Contact information
Practice address
5825 N JEFFERSON ST, BURLINGTON, KY 41005-9772
(513) 965-8041
(513) 965-8091
Mailing address
PO BOX 42172, CINCINNATI, OH 45242-0172
(513) 965-8041
(513) 965-8091
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437352
—
OH
05
—
65932113
—
KY
Enumeration date
08/02/2005
Last updated
12/13/2010
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