| NPI | 1689356214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY ROGERS President 502-210-5538 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2025-04-16 |