Organization
COMMONWEALTH REHABILITATION & SPORTS MEDICINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MCCRAY (CHIEF OPERATING OFFICER)
(859) 278-2121
Entity
Organization
Contact information
Practice address
5874 VETERANS WAY, BURLINGTON, KY 41005-8824
(859) 334-4331
(859) 586-1798
Mailing address
PO BOX 911148, LEXINGTON, KY 40591-1148
(859) 278-2121
(859) 276-1649
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/12/2007
Last updated
03/06/2008
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