| NPI | 1083192785 | 
|---|---|
| Former Name | CHRISTINE MAUCH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH PT017468)  | 
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017468)  | 
| Enumeration Date | 2018-08-03 | 
| Last Update Date | 2025-08-14 |