| NPI | 1114320090 |
|---|---|
| Doing Business As | REHAB WITHOUT WALLS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TYLER WHOBREY Provider Enrollment 502-630-7249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2019-07-11 |