Organization
LIBERTY REHABILITATION PSC
Active
Parent organization
LIBERTY REHABILITATION PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY REHABILITATION PSC
Authorized official
MR. FORREST L WAIDE P.T. (DIRECTOR)
(270) 824-9227
Entity
Organization
Contact information
Practice address
378 US HIGHWAY 62 W, PRINCETON, KY 42445-2405
(270) 365-1420
(270) 365-1425
Mailing address
100 YMCA DR, SUITE 5, MADISONVILLE, KY 42431-9000
(270) 824-9227
(270) 824-9206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251H1200X
Hand Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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