| NPI | 1710149059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN M WRAY Physician/Owner 419-586-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35078836) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2009-02-25 |