| NPI | 1063995017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS DODSON Clinic Coordinator/Owner 614-407-4268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |