| NPI | 1114419926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER ROOT Owner/President 419-674-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |