Organization
WISDOM & HEALTH REHAB CENTRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MORRICE NANKWENYA JR. (PRESIDENT)
(502) 712-1749
Entity
Organization
Contact information
Practice address
4113 BARDSTOWN RD, SUITE 101A, LOUISVILLE, KY 40218-3293
(502) 712-1749
(502) 491-0492
Mailing address
4113 BARDSTOWN RD, SUITE 101A, LOUISVILLE, KY 40218-3293
(502) 712-1749
(502) 491-0492
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
056-06-5458(1)
KY
Other
Enumeration date
12/03/2012
Last updated
05/06/2013
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