| NPI | 1679271316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART RYAN CEO 502-919-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |