| NPI | 1336550136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA M. COBLE Owner 502-608-7122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2023-07-26 |