| NPI | 1205869088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MARTIN President/Owner 614-759-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: OH 34-003198) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-12 |