| NPI | 1225558000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANNE SCOTT Owner 502-415-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY R3522) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R3522) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2022-03-07 |