| NPI | 1811197247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA EMBERTON Office Manager 502-384-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-06-19 |