| NPI | 1851670616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BARBER VP 502-753-6004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2012-04-26 |