| NPI | 1235197302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. GODDARD President 513-558-2919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 363A00000X Physician Assistant (Licence: OH 50.000932) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2010-09-24 |