| NPI | 1457474694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ROTHGEB Billing Specialist 614-801-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3510) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT010968) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2013-03-13 |