| NPI | 1508068164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISE MARIE VACCA President, Spectrum Therapy,LLC 614-388-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 5072) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 5840) |
| 225100000X Physical Therapist (Licence: OH 9081) | |
| 225200000X Physical Therapy Assistant (Licence: OH 415) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2007-07-17 |