| NPI | 1285977462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRESTA LEIGH WILSON Owner/Manager 859-475-4305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KY KY 3201) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 005311) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: KY R4342) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KY KY 3472) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KY KY 4155) | |
| 235Z00000X Speech-Language Pathologist, (Licence: KY KY 3597) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2020-07-21 |