| NPI | 1598076028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN D MCGOVERN Office Manager 502-426-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002994) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2012-09-25 |