| NPI | 1346757663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SULLIVAN Occupational Therapist 502-396-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 132864) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-01-08 |