NPI | 1962748111 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNE M BURNETT Office Manager 502-633-1007 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2012-12-17 |
Last Update Date | 2017-03-07 |