| NPI | 1700074994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E GRAY Physical Therapist 270-842-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 000555) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2012-04-04 |