NPI | 1467700765 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKIE MARTIN Owner 606-831-8752 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY R1895) |
Enumeration Date | 2012-08-17 |
Last Update Date | 2012-08-17 |