| NPI | 1689356214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HUNT COO 502-724-9831 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-03-22 |