NPI | 1104133289 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE WUNDERLE BOSLEY Owner 740-881-4394 |
Organization Subpart ? | No |
Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: OH 3738) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2010-09-09 |