Organization
PHYSICAL THERAPY ASSOCIATES INC
Active
Organization
PHYSICAL THERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY GORDON COFFMAN (EXECUTIVE DIRECTOR)
(270) 360-9129
Entity
Organization
Contact information
Practice address
104 E MAIN ST, HODGENVILLE, KY 42748-1316
(270) 358-9765
Mailing address
403 N MILES ST, ELIZABETHTOWN, KY 42701-1834
(270) 360-9129
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002884
KY
Other
Enumeration date
05/16/2007
Last updated
10/11/2007
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