| NPI | 1821634650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HANCOCK Member 513-519-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| 208100000X Physical Medicine & Rehabilitation | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-04-14 |