Organization
REHAB ASSOCIATES PSC
Active
Other names
Weitlauf & Vance PSC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S VANCE D.P.T. (PRESIDENT)
(270) 442-4396
Entity
Organization
Contact information
Practice address
220 BERGER RD, PADUCAH, KY 42003-4522
(270) 442-4396
(270) 442-3346
Mailing address
220 BERGER RD, PADUCAH, KY 42003-4522
(270) 442-4396
(270) 442-3346
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000059161
ANTHEM GROUP #
KY
Enumeration date
11/08/2005
Last updated
09/17/2008
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