| NPI | 1780102020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ZALONE Member 606-276-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KY 03940) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |