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Organization

PHYSICAL THERAPY & REHABILITATION SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization

Contact information

Practice address
1610 ARDEN WAY STE 195, SACRAMENTO, CA 95815-4035
(916) 649-1379
(916) 649-1705
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QP2000X
Physical Therapy Clinic/Center
261QR0400X
Rehabilitation Clinic/Center

Other

Enumeration date
08/24/2018
Last updated
08/31/2020
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