| NPI | 1083154843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY POLIVICK SWARTZ Physical Therapist/ Owner 270-873-7495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 03902) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2022-09-07 |