NPI | 1013004514 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE BLACK Office Manager 937-427-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2227) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT006681) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2022-11-09 |