| NPI | 1760148357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE ANN KLEEH Authorized Official 330-758-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |