NPI | 1548523376 |
---|---|
Doing Business As | ADVANTAGE PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | RONALD KEITH PAVKOVICH Owner 859-619-5808 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY PT005087) |
Enumeration Date | 2012-06-18 |
Last Update Date | 2021-10-14 |