| NPI | 1972057198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RENEA SAGESER CEO/Slp 502-633-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |