| NPI | 1649271321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA DALE JOHNSON A/R Supvervisor Hipaa Office 614-895-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-12-06 |