| NPI | 1144363482 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEBORAH W MOORE Office Manager 859-497-7061  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY KYR2445)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 003353)  | 
| Enumeration Date | 2007-02-15 | 
| Last Update Date | 2025-09-11 |