| NPI | 1154469971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERRITT S. OLESKI Director 513-671-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 3319) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT4825) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-01-02 |