| NPI | 1023037140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DAMON Credentialing Manager 419-427-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 171400000X Health & Wellness Coach | |
| 174H00000X Health Educator | |
| 207Q00000X Family Medicine | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-08-28 |