| NPI | 1245205368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE P THOMAS Clinic Director 502-995-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2017-07-21 |