| NPI | 1932685187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BERGER Occupational Therapist 502-500-0578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |