| NPI | 1104198472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM MARSHALL Occupational Therapist / Owner 859-224-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: KY R3083) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY 1196) |
| 225100000X Physical Therapist (Licence: KY 5326) | |
| 225X00000X Occupational Therapist | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 235Z00000X Speech-Language Pathologist (Licence: KY 4077) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2024-09-10 |