Organization
PHYSICAL THERAPY CLINIC PSC
Active
Other names
PIKE COUNTY PHYSICAL THERAPY CLINIC, PSC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA C. HOWARD P.T. (PT/CEO)
(606) 432-8782
Entity
Organization
Contact information
Practice address
419 TOWN MOUNTAIN RD STE 108, PIKEVILLE, KY 41501-1632
(606) 432-8782
(606) 432-8858
Mailing address
419 TOWN MOUNTAIN RD STE 108, PIKEVILLE, KY 41501-1632
(606) 432-8782
(606) 432-8858
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000072916
ANTHEM
KY
Enumeration date
02/15/2006
Last updated
11/07/2007
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