| NPI | 1366484701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL HARRIS President 270-230-1729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R4652) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2017-11-02 |