| NPI | 1639629389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BYRD Owner 270-360-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 34304) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-11-11 |