| NPI | 1760500508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN ELLEN SCHNEIDER Owner 502-327-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-001051) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY KY-R2746) |
| 235Z00000X Speech-Language Pathologist, (Licence: KY 3098) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |