| NPI | 1568959708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JOSEPH MONTI Physical Therapist 330-307-8648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports (Licence: OH 012967) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2018-04-13 |