| NPI | 1629309893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSE CHUNG LEE Owner 419-787-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL 102935) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-01-27 |