Organization
CENTRAL KENTUCKY REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC MICHAEL MOONEY PT (OWNER/OPERATOR)
(270) 699-2356
Entity
Organization
Contact information
Practice address
255 W MAIN ST, SUITE 121, LEBANON, KY 40033-1260
(270) 699-2356
(270) 699-2995
Mailing address
255 W MAIN ST, SUITE 121, LEBANON, KY 40033-1260
(270) 699-2356
(270) 699-2995
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
004310
KY
Other
Enumeration date
01/25/2008
Last updated
04/14/2008
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