| NPI | 1104036623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL E. SELLA Owner 740-633-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine (Licence: OH 51365) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-07-13 |