| NPI | 1386716827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EDWARD INNOCENZI President 330-702-0978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OH 36003012i) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |