| NPI | 1801145628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA BARROWMAN CLEVENGER Owner 859-224-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2016-11-07 |