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Organization
LEDIC THERAPY GROUP CORP
Active
Organization
LEDIC THERAPY GROUP CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEDINSON CHAVEZ (PRESIDENT)
(305) 857-7940
Entity
Organization
Contact information
Practice address
3616 KLONDIKE LN, LOUISVILLE, KY 40218-1711
(305) 857-7940
Mailing address
3616 KLONDIKE LN, LOUISVILLE, KY 40218-1711
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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