| NPI | 1821324245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYBIL CELESTE FORSYTHE Owner 859-333-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2021-05-05 |