| NPI | 1326326927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE C. JESTER Executive Director 270-629-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2012-12-18 |