| NPI | 1437106655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE JORDAN Owner 614-878-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OH 34-00-5892) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-07-29 |