| NPI | 1699905851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C. MARTUCCIO President 330-856-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OH 34007714) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT 012820) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2014-06-11 |