| NPI | 1396964151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A TODD Director 502-561-8032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: KY 036963) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |