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Organization

RECOVERY REHABILITATION 1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROME JOHANNES (OWNER)
(502) 742-2300
Entity
Organization

Contact information

Practice address
2600 W BROADWAY STE 208, LOUISVILLE, KY 40211-1370
(502) 742-2300
(501) 742-2032
Mailing address
2600 W BROADWAY STE 208, LOUISVILLE, KY 40211-1370
(502) 742-2300
(501) 742-2032

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
KY

Other

Enumeration date
02/16/2012
Last updated
02/16/2012
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