| NPI | 1982144663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN CROSS Owner/Physical Therapist 859-391-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 172319) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |