Organization
MONTICELLO PHYSICAL THERAPY INC
Active
Organization
MONTICELLO PHYSICAL THERAPY INC
Active
Other names
Wayne County Physical Therapy Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL M BROWN PT (OWNER)
(606) 348-3314
Entity
Organization
Contact information
Practice address
ONE SOUTHCREEK DR, SUITE 116, MONTICELLO, KY 42633-9472
(606) 348-3314
(606) 348-3315
Mailing address
1 S CREEK DR, SUITE 116, MONTICELLO, KY 42633-9472
(606) 348-3314
(606) 348-3315
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
KY
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87900353
—
KY
Enumeration date
11/16/2005
Last updated
07/21/2022
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