| NPI | 1154502409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA EDELSTEIN MENDELSON Owner 513-884-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH 02920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 006165) |
| 225X00000X Occupational Therapist (Licence: KY 007027) | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2016-02-20 |