| NPI | 1578801395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA LEE DELONG Owner 606-326-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 005050) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |