| NPI | 1700080819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE K WATSON Manager 859-401-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: KY 004930) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-01-15 |