| NPI | 1558722462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURYL RAYE MCCOY-LEKSRISAWAWT President 502-296-9897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R2741) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2016-03-19 |