| NPI | 1659558211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MICHAEL MOONEY Owner/Operator 270-699-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: KY 004310) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-04-14 |