| NPI | 1245311455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA TALLEDO Partner/Physician/Office Manager 614-801-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3524) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT10968) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-03-06 |