| NPI | 1730495755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS R KOFORD Owner 502-693-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 35781) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2016-11-08 |