| NPI | 1700987229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH P FARRELL Owner 330-372-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34.002093) |
| Additional Taxonomies | 111NR0200X Chiropractor Radiology (Licence: OH 3569) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2012-11-19 |