| NPI | 1770831075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE M BURNETT Executive Director 502-633-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 133N00000X Nutritionist |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2017-03-07 |