NPI | 1003849639 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA HOUGH President 502-267-4478 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R1137) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
225100000X Physical Therapist (Licence: KY PT-004789) | |
235Z00000X Speech-Language Pathologist, (Licence: KY 4307) | |
Enumeration Date | 2006-07-08 |
Last Update Date | 2021-05-21 |