| NPI | 1104165968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN HALL Physical Therapist 606-889-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 1908) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |