| NPI | 1770148793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WILSON National Credentialing Manger 502-272-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| 225X00000X Occupational Therapist | |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2022-03-28 |