| NPI | 1538779277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARIE MASTERSON Occupational Therapist 502-386-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |