| NPI | 1093844177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CROSS Owner 859-426-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: KY 002831) |
| 2251P0200X Physical Therapist Pediatrics | |
| 225XP0200X Occupational Therapist Pediatrics (Licence: KY 006361) | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist (Licence: KY KY2628) | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-26 |