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Organization

PROREHAB OF LOUISVILLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA L. BAUMANN (COO)
(812) 759-7473
Entity
Organization

Contact information

Practice address
4042 DUTCHMANS LN, LOUISVILLE, KY 40207-4712
(502) 899-9363
(502) 899-9365
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 401-3258

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1952060485
KY
Enumeration date
12/13/2021
Last updated
03/18/2022
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