NPI | 1700326923 |
---|---|
Entity Type | Organization |
Authorized Contact | TY DAHODWALA Owner 440-835-6263 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
225100000X Physical Therapist | |
364SA2200X Clinical Nurse Specialist, Adult Health | |
Enumeration Date | 2017-03-07 |
Last Update Date | 2017-04-18 |