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Organization

KENTUCKY ORTHOPEDIC REHABILITATION LLC

Active
Other names
Jeffersonville Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL E. TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization

Contact information

Practice address
3121 E 10TH ST, JEFFERSONVILLE, IN 47130
(812) 218-8039
(812) 218-8259
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
IN

Other

Enumeration date
07/29/2005
Last updated
06/21/2018
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