| NPI | 1790450302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEXIS WRIGHT Provider 502-333-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-08-16 |