| NPI | 1295349132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE STEVENSON Administrator 419-733-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-14 |