| NPI | 1376065722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SPARKS Physical Therapist 440-799-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 6007) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH 09941) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2019-12-20 |