| NPI | 1750626040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HANCOCK Owner 513-519-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: OH 2177) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2019-07-12 |