Organization
LIBERTY REHABILITATION PSC
Active
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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