| NPI | 1831144856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A KELLY Physical Therapist 419-578-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT002979) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-10-31 |