| NPI | 1942848460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE J MARSHALL Owner 502-319-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-18 |