| NPI | 1427004779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEONID STYCHNO Owner 330-399-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-06-17 |