| NPI | 1346687332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL COX-WOODALL Occupational Therapist 502-494-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 2251P0200X Physical Therapist Pediatrics | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2017-03-23 |