| NPI | 1740720325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNCY L EAKINS Owner 937-369-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MI 4301104658) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2023-11-29 |