Organization
THERAPEDS PEDIATRIC PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE TIFFINEY DEOPERE PT (OWNER OPERATOR)
(270) 402-4546
Entity
Organization
Contact information
Practice address
2024 WINSTON AVE, LOUISVILLE, KY 40205-2534
(270) 402-4546
Mailing address
2024 WINSTON AVE, LOUISVILLE, KY 40205-2534
(270) 402-4546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003615
KY
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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