Organization
REHABILITATION INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SWATI M DAFTARY MD (MD)
(502) 495-5055
Entity
Organization
Contact information
Practice address
3103 BRECKENRIDGE LN, SUITE 1, LOUISVILLE, KY 40220-2798
(502) 495-5055
(502) 495-5057
Mailing address
3103 BRECKENRIDGE LN, SUITE 1, LOUISVILLE, KY 40220-2798
(502) 495-5055
(502) 495-5057
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
30614
KY
363LA2200X
Adult Health Nurse Practitioner
3003332
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65941684
—
KY
Enumeration date
10/11/2006
Last updated
05/11/2017
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