| NPI | 1790337376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HANCOCK Manager 513-519-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 111NR0400X |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |