| NPI | 1306214903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH EVANS CEO 502-309-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 001579) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2015-09-13 |
| Last Update Date | 2021-09-30 |