| NPI | 1073961009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA COVELL President 270-307-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: KY R3781) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2020-08-11 |