| NPI | 1124884861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DONAHUE Owner 614-767-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-04-25 |