| NPI | 1770092942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS DEGRANDIS Owner 440-213-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: CO PTL0012652) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |