| NPI | 1477726909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD LEAR Program Director 270-793-0395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-003526) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY PT-003058) |
| 225100000X Physical Therapist (Licence: KY PT-004206) | |
| 225X00000X Occupational Therapist (Licence: KY R2545) | |
| 225X00000X Occupational Therapist (Licence: KY R3434) | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |