| 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 |