| NPI | 1013023100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MURDOCK Office Manager 513-863-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: OH 2323) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: OH 4154) |
| 208D00000X General Practice | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-09-02 |