| NPI | 1891205175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LOUISE WIDELO Doctor Of Physical Therapy 859-749-9305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |