| NPI | 1548614381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTI BRADBURY Physical Therapist 270-307-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 006170) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |