Organization
SUMMIT REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BASA IV (CEO)
(502) 821-4174
Entity
Organization
Contact information
Practice address
3628 ROLLING RIDGE WAY, JEFFERSONVILLE, IN 47130-6908
(502) 819-6363
Mailing address
3628 ROLLING RIDGE WAY, JEFFERSONVILLE, IN 47130-6908
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/27/2021
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