ROBERT JOHN REVOLT

LOUISVILLE, KY
NPI1265703243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A00571)
Enumeration Date2012-01-23
Last Update Date2012-01-23
Business Address
-- ROBERT JOHN REVOLT pta
2200 STONY BROOK DR
LOUISVILLE, KY 40220-4016
Phone number: 502-495-6240
Mailing Address
-- ROBERT JOHN REVOLT pta
11204 COVENTRY GREENS DR
LOUISVILLE, KY 40241-3409
Phone number: 502-708-1124
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