Organization
REHABILITATION INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SWATI M DAFTARY M.D. (OWNER)
(502) 636-1002
Entity
Organization
Contact information
Practice address
3 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1319
(502) 636-1002
(502) 636-0440
Mailing address
3 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1319
(502) 636-1002
(502) 636-0440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65941684
—
KY
Enumeration date
06/21/2007
Last updated
08/22/2020
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