| NPI | 1144363482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH W MOORE Office Manager 859-497-7061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 003353) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY KYR2445) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |