Organization
COMMONWEALTH REHABILITATION & SPORTS MEDICINE PSC
Active
Other names
Commonwealth Physical Therapy and Rehabilitation- Florence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MCCRAY P.T. (CHIEF OPERATING OFFICER)
(859) 278-2121
Entity
Organization
Contact information
Practice address
7981 FREEDOM WAY, FLORENCE, KY 41042
(859) 371-8447
(859) 371-8996
Mailing address
PO BOX 911148, LEXINGTON, KY 40591-1148
(859) 278-2121
(859) 276-1649
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000393658
ANTHEM PROVIDER NUMBER PT
—
01
—
41219083604
OHIO BWC
—
Enumeration date
08/18/2006
Last updated
03/06/2008
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