| NPI | 1679903637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM MARSHALL Owner 859-224-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R3083) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 4077) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2013-11-12 |