| NPI | 1720760697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DODI KATRINA WILSON, LMT Wellness Department 740-504-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |