| NPI | 1457730228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA JANE GIBSON Occupational Therapist/ Owner 606-677-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 001108) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 001108) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |