| NPI | 1023295201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KELLERSTRASS Market Manager 937-228-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH 06165) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |