| NPI | 1952183618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MARIE BRENTS Physical Therapist 502-689-6188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-11-19 |