| NPI | 1326801747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACY BASSLER Physical Therapist, Owner 606-315-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |