| NPI | 1962653964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUE MOBERLY Physical Therapist 502-896-1444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: KY PT001369) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |