| NPI | 1114976024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN E GABRIEL Billing And Contract Manager 330-245-1372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 003997) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-08-20 |