| NPI | 1053647313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD HAMBLEN Member 859-746-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2011-05-26 |