| NPI | 1508265687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN KAY MALONE President 502-468-9465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: KY 005915) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: KY 005700) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2015-01-09 |