Organization
GREAT OUTCOMES PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WEAVER (OWNER)
(859) 912-1081
Entity
Organization
Contact information
Practice address
40 UTZ DR, FLORENCE, KY 41042-1539
(859) 912-1081
(859) 305-1668
Mailing address
40 UTZ DR, FLORENCE, KY 41042-1539
(859) 912-1081
(859) 305-1668
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
001647
KY
Other
Enumeration date
11/19/2010
Last updated
04/26/2016
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