| NPI | 1770615916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LANE BROWN Physical Therapist 502-499-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 003788) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 001785) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-02-28 |