| NPI | 1376681221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA JENELL PHELPS Preisdent 270-688-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 251E00000X Home Health | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2021-03-24 |