| NPI | 1861561029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA CANTWELL Executive Director 502-253-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: KY 720179) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |