| NPI | 1770804825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CHARLES MILLER Owner 937-901-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2016-11-10 |