| NPI | 1568851517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE BROWN CEO 502-320-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 001285) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |