| NPI | 1013198498 |
|---|---|
| Doing Business As | PARK AVENUE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOHN PHILIP BENTLEY President 606-632-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305203978) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2010-04-23 |