| NPI | 1841404977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH AU ROCH Credentialing Coordinator 513-619-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2010-07-28 |