| NPI | 1376535781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHARLES YANNESSA President 614-471-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OH 34004565) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: OH 2080) |
| 225100000X Physical Therapist (Licence: OH PT10430) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2018-12-28 |