| NPI | 1811232705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MORRICE NANKWENYA President 502-712-1749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY 056-06-5458(1)) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2013-05-06 |