| NPI | 1306010681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MEREDITH VAUGHAN Office Manager 270-793-0395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R2545) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R3434) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |