| NPI | 1063793016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MCCRAY President 270-307-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 004307) |
| Enumeration Date | 2011-09-05 |
| Last Update Date | 2020-05-27 |