| NPI | 1417058009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA IGNAZIO Office Manager 330-758-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2533) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 2426) |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: OH 34.002093) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-01-26 |