| NPI | 1124200613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. DAVIS Physical Therapist Assistant 330-882-8179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH 751) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-11-27 |