Organization
BRAINWAVE NEUROREHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA MARIE KLAWITTER MA CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(502) 552-9235
Entity
Organization
Contact information
Practice address
10315 STERLING SPRINGS RD, LOUISVILLE, KY 40223-2783
(502) 552-9235
Mailing address
10315 STERLING SPRINGS RD, LOUISVILLE, KY 40223-2783
(502) 552-9235
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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