Av360 Midwest LLC

NPI #1528632098 in Lawrenceburg, Indiana

Provider Information

NPI Number: 1528632098
Entity Type: Organization
Organization Name: Av360 Midwest LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 18, 2021
Last Updated: May 18, 2021

Practice Location

Address: 4932 KIRBY RD
City: Lawrenceburg
State: Indiana
ZIP Code: 47025-8227
Phone: (224) 249-1972

Authorized Official

Name: ALEXANDER SIMON VASILESKI
Title: PRESIDENT
Phone: (224) 249-1972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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