| NPI | 1194755355 |
|---|---|
| Doing Business As | ORTHODPEDIC & TMJ PHYSICAL THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | CAROL RAY CONRADES Owner 502-777-6746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |