| NPI | 1467585174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET E MCGOVERN Practice Administrator 859-264-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: KY PT004841) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-02-15 |