| NPI | 1649627050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RYAN PAVLAK Physical Therapist 330-289-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH PT016295) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |