NPI | 1487687125 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD HANNEMAN Administrator 419-523-9003 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2006-07-08 |
Last Update Date | 2008-04-20 |