| NPI | 1568400919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES V VITALE Clinic Director 419-531-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 3479) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |