| NPI | 1750629515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASANDRA ROSE ENGELBACH Office Manager/Credentialing Contac 330-479-9645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-01-29 |