| NPI | 1871610402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MAIDEN President 606-347-2398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT00001776) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-12-14 |