| NPI | 1629008883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN C ALLEN Owner President 419-366-6303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT- 5557) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 22030630) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 22 030 630) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: OH PT -5557) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |