| NPI | 1497962617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA OTTO Office Manager 513-984-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35034854F) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2014-03-13 |