| NPI | 1003117441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE RADZIK Owner/ Director 419-497-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 33.014099) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OH 65.000157) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |