| NPI | 1275586455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KINNAIRD JOHNSON Medical Director 937-435-3620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2011-06-20 |