| NPI | 1265521025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL A DURHAM Owner 330-386-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH 08856) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-01-06 |