| Organization Name: | PHYSICAL THERAPY CLINIC PSC |
| NPI Number: | 1083688212 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA C. HOWARD (PT/CEO) |
| Mailing Address: | 419 Town Mountain Rd Ste 108 Pikeville |
| State: | KY US |
| Postal Code: | 415011632 |
| Phone Number: | 6064328782 |
| Fax Number: | 6064328858 |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 11/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |