| NPI | 1891090684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HICKS Owner/Manager 606-465-9736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 0776966) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |