| NPI | 1912256827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN L BEEBE Otr/L 502-570-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2014-09-19 |