| NPI | 1396921540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIE S IZZO Owner 330-656-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: OH OH2882) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2013-01-25 |