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Organization

ACTIVE DAY

Active
Parent organization
ACTIVE SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACTIVE SERVICES
Authorized official
MRS. LINDA SUE MOBERLY PT (PHYSICAL THERAPIST)
(502) 896-1444
Entity
Organization

Contact information

Practice address
3403 BRECKENRIDGE LN, LOUISVILLE, KY 40220-3101
(502) 896-1444
Mailing address
3403 BRECKENRIDGE LN, LOUISVILLE, KY 40220-3101
(502) 896-1444

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT001369
KY

Other

Enumeration date
10/08/2008
Last updated
10/08/2008
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