| NPI | 1063512697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BURTON Business Office Manager 502-265-8847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY R4085) | |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2021-10-05 |