Orthopedic & Sports Physical Therapy Pllc

NPI #1285991414 in Lexington, Kentucky

Provider Information

NPI Number: 1285991414
Entity Type: Organization
Organization Name: Orthopedic & Sports Physical Therapy Pllc
Primary Specialty: Physical Therapist
Enumeration Date: Apr 12, 2012
Last Updated: Sep 25, 2012

Practice Location

Address: 1868 PLAUDIT PLACE
Address 2: SUITE B
City: Lexington
State: Kentucky
ZIP Code: 40509
Phone: (859) 264-0512

Authorized Official

Name: SUSAN D MCGOVERN
Title: OFFICE MANAGER
Phone: (502) 426-2221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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