Organization
ORTHOPEDICS PLUS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASE JARED PINEROLA P.T. (PRESIDENT)
(270) 726-6640
Entity
Organization
Contact information
Practice address
105 ROBINS WAY, SUITE 201, RUSSELLVILLE, KY 42276-1113
(270) 726-6640
(270) 726-6674
Mailing address
PO BOX 51426, BOWLING GREEN, KY 42102-5726
(270) 726-6640
(270) 726-6674
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
PT001927
KY
Other
Enumeration date
06/09/2006
Last updated
12/04/2007
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