| NPI | 1053567057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN DAVIS Physical Therapist, Owner 330-519-8431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT - 05599) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA 03719) |
| 225100000X Physical Therapist (Licence: OH PT-07469) | |
| 225X00000X Occupational Therapist (Licence: OH OT 006691) | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |