Organization
KENTUCKY ORTHOPEDIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
616 EXECUTIVE PARK, LOUISVILLE, KY 40207-4206
(502) 896-9355
(502) 896-9255
Mailing address
4716 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
KY
Other
Enumeration date
12/01/2006
Last updated
09/01/2010
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