| NPI | 1255680443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER ALLEN DAVIS Director Of Operations 502-245-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-09-03 |
| Last Update Date | 2012-09-03 |