Liberty Rehabilitation Psc
NPI #1629167663 in Madisonville, Kentucky
Provider Information
- NPI Number
- 1629167663
- Entity Type
- Organization
- Organization Name
- Liberty Rehabilitation Psc
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 11, 2006
- Last Updated
- May 13, 2012
Practice Location
- Address
- 100 YMCA DR
- Address 2
- SUITE 5
- City
- Madisonville
- State
- Kentucky
- ZIP Code
- 42431-9000
- Phone
- (270) 824-9227
Authorized Official
- Name
- FORREST L. WAIDE, P. T.
- Title
- PRESIDENT
- Phone
- (270) 824-9227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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