| NPI | 1376088799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE D HAUSER CEO 606-526-2918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2025-10-01 |