| NPI | 1093117236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S GRAVES Owner 330-650-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OH 4367) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: OH 4367) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |