Revolt, Robert John
Revolt, Robert John is an sole proprietor health care provider with primary practice located at 2200 Stony Brook Dr , Louisville KY 40220-4016. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Revolt, Robert John can be contacted via phone (502) 495-6240.Contact Information
Primary practice address
2200 Stony Brook Dr
Louisville KY 40220-4016
Phone: (502) 495-6240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | A00571 | Kentucky |
Profile Details
| NPI number | 1265703243 |
|---|---|
| LBN Legal business name | Revolt, Robert John |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2012 |
| Last updated | Jan 23rd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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