| NPI | 1770347114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY NICK CHORNY Owner 937-543-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |