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Organization

AT HOME REHAB ALLIANCE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK ALLEN CLARK P.T. (PRINCIPAL)
(502) 222-2615
Entity
Organization

Contact information

Practice address
5201 ARROWSHIRE DR, LAGRANGE, KY 40031-9600
(502) 222-2615
(502) 222-2617
Mailing address
5201 ARROWSHIRE DR, LAGRANGE, KY 40031-9600
(502) 222-2615
(502) 222-2617

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001751
KY

Other

Enumeration date
09/03/2006
Last updated
06/11/2009
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