| NPI | 1386779783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY KLASE CEO 330-743-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 231H00000X Audiologist |
| 235Z00000X Speech-Language Pathologist, | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH HMEL11340) | |
| 332S00000X Hearing Aid Equipment (Licence: OH 01856) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OH HMEL11340) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2024-04-19 |