| NPI | 1528041274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L WOOD Office Manager 937-644-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT 004515) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: OH 9611000450) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT 004515) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2018-06-21 |