| NPI | 1710334263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE MAGNESS Physical Therapist 502-523-1741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 4790) |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2016-05-14 |