| NPI | 1649442005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARALD W MCDONALD Office Manager 937-840-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: OH 35.052171) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2016-09-18 |