| NPI | 1154629004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MULICHAK Billing Coordinator 330-652-2287 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT006881) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-04 |