NPI | 1689453748 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRSTI SMITH Co Owner 502-507-8739 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2023-09-27 |
Last Update Date | 2023-09-28 |