| NPI | 1659638518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N. WHITEHURST Staff Athletic Trainer 419-744-0929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: OH AT.003664) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |