| NPI | 1629218771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY PRINKLETON Physical Therapist/Owner 502-212-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 003948) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |