| NPI | 1073723276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FAYE CONVERSE Staff Physical Therapist 614-293-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH PT09715) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-06-16 |