Provider First Line Business Practice Location Address:
303 N. HURSTBOURNE PARKWAY
Provider Second Line Business Practice Location Address:
SUITE 200 PARAGON REHABILITATION
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40222
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-412-5847
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/09/2013