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Organization

UNIVERSITY OF LOUISVILLE REHABILITATION FACULTY GROUP, PLLC

Active
Other names
Center for Advanced Rehabiliation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN HODES MD (PRESIDENT)
(502) 899-3623
Entity
Organization

Contact information

Practice address
3900 KRESGE WAY, STE #41, LOUISVILLE, KY 40207-4660
(502) 899-3623
(502) 899-7970
Mailing address
3900 KRESGE WAY, STE #41, LOUISVILLE, KY 40207-4660
(502) 899-3623
(502) 899-7970

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
24102
KY

Other

Enumeration date
04/05/2011
Last updated
04/05/2011
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