| NPI | 1518070804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GUIDO ANDRESHAK President 419-517-7500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-06-06 |