Provider First Line Business Practice Location Address:
115 S SALEM DR
Provider Second Line Business Practice Location Address:
PHYSICAL THERAPY ASSOCIATES
Provider Business Practice Location Address City Name:
BARDSTOWN
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40004-1762
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-350-0880
Provider Business Practice Location Address Fax Number:
502-350-3640
Provider Enumeration Date:
02/15/2006