| NPI | 1871748632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE KAELIN Physical Therapist 270-316-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 1006) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |