Organization
PHYSICAL THERAPY CLINIC PSC
Active
Parent organization
PHYSICAL THERAPY CLINIC PSC
Other names
PIKE COUNTY PHYSICAL THERAPY CLINIC, PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICAL THERAPY CLINIC PSC
Authorized official
MRS. PAMELA C. HOWARD P.T (PT/CEO)
(606) 237-4477
Entity
Organization
Contact information
Practice address
275 MALL ROAD, SUITE 1A, SOUTH WILLIAMSON, KY 41503-1632
(606) 237-4477
(606) 237-4475
Mailing address
PHYSICAL THERAPY CLINIC PSC, 419 TOWN MOUNTAIN RD STE 108, PIKEVILLE, KY 41501-1632
(606) 432-8782
(606) 432-8858
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000072916
ANTHEM
KY
Enumeration date
02/17/2006
Last updated
11/07/2007
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