| NPI | 1154514826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HANCOCK Owner 270-719-9407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 003647) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-10-31 |