| NPI | 1548523376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD KEITH PAVKOVICH Owner 859-619-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: KY PT005087) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2021-10-14 |