| NPI | 1033977657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY EDWARDS VP Of Clinical Operations 937-477-7763 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-05-03 |