Organization
WESTERN KENTUCKY ORTHOPAEDIC ASSOCIATES REHABILITATION DEPARTMENT
Active
Parent organization
WESTERN KENTUCKY ORTHOPAEDIC ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN KENTUCKY ORTHOPAEDIC ASSOCIATES
Authorized official
MR. BRAD LEAR P.T. (PROGRAM DIRECTOR)
(270) 793-0395
Entity
Organization
Contact information
Practice address
1777 ASHLEY CIR, BOWLING GREEN, KY 42104-3339
(270) 793-0395
(270) 793-0765
Mailing address
1777 ASHLEY CIR, BOWLING GREEN, KY 42104-3339
(270) 793-0395
(270) 793-0765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-003058
KY
225100000X
Physical Therapist
Primary
PT-003526
KY
225100000X
Physical Therapist
PT-004206
KY
225X00000X
Occupational Therapist
R2545
KY
225X00000X
Occupational Therapist
R3434
KY
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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