Organization
ADVANCED REHABILITATION SPECIALISTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE KIM WATERS MD (PRESIDENT)
(502) 893-3494
Entity
Organization
Contact information
Practice address
1406 A BROWNS LANE, LOUISVILLE, KY 40207
(502) 893-3494
(502) 896-2621
Mailing address
1406 A BROWNS LANE, LOUISVILLE, KY 40207
(502) 893-3494
(502) 896-2621
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
28326
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64283260
—
KY
Enumeration date
05/21/2007
Last updated
02/15/2011
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