| NPI | 1275735243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN RAY BITTICKER Practice Manager 330-602-8893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT-03643) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |