| NPI | 1003114273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LUCENTE Office Manager 330-609-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: OH PT 08632) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2015-09-29 |