| NPI | 1609504752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKENZIE BALL Owner 606-231-8350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-06-27 |