| NPI | 1740646660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RUBY Office Manager 330-219-4152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-08 |