| NPI | 1679578017 |
|---|---|
| Doing Business As | PT CTR FOR SPORTS MED-FAM PHYS THER |
| Entity Type | Organization |
| Authorized Contact | TINA OUTWATER Office Manager 330-239-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT04320) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2014-12-19 |