| NPI | 1033568167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE BENZ CEO/Owner 502-253-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2017-06-06 |