| NPI | 1952575235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MEREDITH VAUGHAN Office Manager 270-793-0395 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT-003526) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |