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SHELBYVILLE PHYSICAL THERAPY & SPINE CARE CENTER, P.S.C.

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Company Details

Name: SHELBYVILLE PHYSICAL THERAPY & SPINE CARE CENTER, P.S.C.
Legal type: Name Reservation
Status: Deleted
File Date: 18 Sep 2003 (22 years ago)
Authority Date: 18 Sep 2003 (22 years ago)
Organization Number: 0568367

National Provider Identifier

NPI Number:
1124126057

Authorized Person:

Name:
SHERRYN G LECOMPTE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
5026333126

Assumed Names

Name Status Expiration Date
SHELBYVILLE PHYSICAL THERAPY & SPINE CARE CENTER, P.S.C. Unknown 2004-01-16

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Sources: Kentucky Secretary of State