Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN D MCGOVERN (OFFICE MANAGER)
(502) 426-2221
Entity
Organization
Contact information
Practice address
11330 MAPLE BROOK DR, LOUISVILLE, KY 40241-2080
(502) 426-2221
Mailing address
11330 MAPLE BROOK DR, LOUISVILLE, KY 40241-2080
(502) 426-2221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002994
KY
Other
Enumeration date
06/30/2010
Last updated
09/25/2012
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