| NPI | 1265973234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STEVENSON Owner 614-832-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34006500) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |