| NPI | 1710592639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY DALLAS-KISH Owner/ Physical Therapist 419-544-2658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2022-11-16 |