| 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 |