Organization
KENTUCKY HAND & PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET E MCGOVERN MBA, CPC (PRACTICE ADMINISTRATOR)
(859) 264-8866
Entity
Organization
Contact information
Practice address
101 WINDSOR PATH, STE 2, GEORGETOWN, KY 40324
(502) 863-1674
(502) 863-1676
Mailing address
151 N EAGLE CREEK DR, STE 400, LEXINGTON, KY 40509-1889
(859) 264-8866
(859) 264-1167
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07184
MEDICARE/GROUP
KY
Enumeration date
06/22/2009
Last updated
06/22/2010
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