| NPI | 1033150438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASE JARED PINEROLA President 270-726-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: KY PT001927) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-12-04 |