| NPI | 1972519395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA LYNN DEYOUNG Director Of Billing 502-245-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY R1714) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |