| NPI | 1114596038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MCILROY Owner 419-204-0412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |