Organization
RWW OUTPATIENT REHAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILSON (NATIONAL CREDENTIALING MANAGER)
(502) 272-3463
Entity
Organization
Contact information
Practice address
1190 E MISSOURI AVE STE 100, PHOENIX, AZ 85014
(602) 393-0520
(602) 393-0523
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/22/2018
Last updated
03/28/2022
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