| NPI | 1356693816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY ANN LEGRAND Physical Therapist 859-543-0319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 003742) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2022-08-12 |