| NPI | 1164957890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LYNN NELSON Owner 419-410-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2026-02-20 |