| NPI | 1174117584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO CASANOVA Owner, PT 614-389-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-04-20 |