| NPI | 1306069349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA MARIE MCCOMISH Director Physical Therapist 419-866-9675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH PT-4112) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH PT-5868) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-09-18 |