NPI | 1720320583 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER WILSON Credentialing Manager 502-272-3463 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2013-03-20 |
Last Update Date | 2023-09-26 |