NPI | 1659552073 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK BABCOCK O PT Ician 502-897-1199 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 0372) |
Enumeration Date | 2007-11-14 |
Last Update Date | 2007-11-14 |