# LEDIC THERAPY GROUP CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528476561
- **Authorized official:** LEDINSON CHAVEZ (PRESIDENT)
- **Authorized official phone:** (305) 857-7940

## Contact information

- **Practice address:** 3616 KLONDIKE LN, LOUISVILLE, KY 40218-1711
- **Practice address phone:** (305) 857-7940
- **Mailing address:** 3616 KLONDIKE LN, LOUISVILLE, KY 40218-1711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2014
- **Last updated:** 07/22/2014