| NPI | 1134337132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE KIM WATERS President 502-893-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 28326) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-02-15 |