| NPI | 1811397169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT SPALDING Occupational Therapist 502-614-9362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R4377) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R4486) |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2014-08-23 |