| NPI | 1053512798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE TIFFINEY DEOPERE Owner Operator 270-402-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 003615) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |