| NPI | 1811940182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MARTIN DONNINI Co Owner 937-439-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 225100000X Physical Therapist | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2013-01-15 |