| NPI | 1598022022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE LUBKEMAN-SMITH Sole Proprietor/Therapist 614-404-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OH I4970) |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2015-04-27 |