| NPI | 1275647372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA P. JETER Physical Therapist/Owner 937-393-9272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OH PT4493) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-01-06 |