Organization
KENTUCKY ORTHOPEDIC REHABILITATION, LLC
Active
Other names
KORT Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
815 FAIRWAY DR, SUITE C, BRANDENBURG, KY 40108-1415
(717) 975-4503
(717) 975-9981
Mailing address
4716 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
(717) 975-4503
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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