| NPI | 1497043442 |
|---|---|
| Doing Business As | GRANDVIEW AVENUE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN CORONA President 614-488-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |