| NPI | 1285940981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER EBERLY Owner 419-724-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 7550) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 2848) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2011-01-20 |