| NPI | 1568460673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R MILLER President / Owner / P.T. 937-436-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT02628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT04238) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |