| NPI | 1922352418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN GREEN Physical Therapist 502-836-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 004526) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2022-03-16 |