| NPI | 1033651955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD W COLE Manager 502-418-2318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: KY 003879) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |