| NPI | 1053779017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SPENCER Physical Therapist 606-424-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 004988) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |