NPI | 1902472780 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNE BURNETT Office Manager 502-633-1007 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2021-06-02 |
Last Update Date | 2021-07-29 |