| NPI | 1538126693 |
|---|---|
| Doing Business As | OCC MED SOURCE |
| Entity Type | Organization |
| Authorized Contact | KELLY ANN SEMANCIK Administrative Director 330-548-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |