| NPI | 1407816069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARYN M WOLFE Credentialing Specialist 614-433-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-03-10 |