| NPI | 1841642675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI LYNN PURVIS Occupational Therapist 502-302-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY KY-R2744) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |