Organization
RWW SENIOR LIVING OUTPATIENT REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MGR PROVIDER ENROLLMET)
(502) 394-2100
Entity
Organization
Contact information
Practice address
2101 RAHLING RD APT B, LITTLE ROCK, AR 72223-7504
(501) 650-8217
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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