| NPI | 1780718668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE M LOCSEY Medical Director 614-863-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT009973) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |