| NPI | 1619104296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET E MCGOVERN Practice Administrator 859-264-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2010-06-22 |