| NPI | 1669463170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E BROOKS CEO 859-625-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1300X Physical Therapist Electrophysiology, Clinical |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2018-12-21 |