| NPI | 1609274786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C BOURLAND President 614-442-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 2338635) |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2014-12-05 |