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Organization
RWW OUTPATIENT REHAB SERVICES, LLC
Active
Organization
RWW OUTPATIENT REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILSON (NATIONAL CREDENTIALING MANAGER)
(502) 272-3463
Entity
Organization
Contact information
Practice address
1860 ATKINSON RD STE 101, LAWRENCEVILLE, GA 30043-5066
(678) 442-7861
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
(502) 630-7249
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/03/2019
Last updated
03/28/2022
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