| NPI | 1780101873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE BENZ CEO/Owner 502-442-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |