| NPI | 1679975924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A HOLLABAUGH Owner 330-953-1858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2023-09-07 |