| NPI | 1104846021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI WITHROW Owner 937-434-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT005978) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2024-09-13 |