| NPI | 1548234339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM KISSEL Owner 419-782-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: OH PT7200) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2007-07-18 |