| NPI | 1073812806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK PAUL JACOBS Owner/Manager 502-298-4932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 005251) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2011-03-28 |