| NPI | 1215252390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH MUNOZ Administrator 419-422-6387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2011-12-13 |