| NPI | 1548538002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS HARGETT Phyisican 502-366-8021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY KY26076) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01038361A) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |