| NPI | 1265930234 |
|---|---|
| Doing Business As | FORGE |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT WILSON Member 513-461-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 8111) |
| 225100000X Physical Therapist (Licence: OH 014488) | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |