| NPI | 1861548554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANN CHESSER Credentialing Specialist 614-796-0338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 35-075612) |
| 273Y00000X Rehabilitation Unit (Licence: OH 35-075612) | |
| 314000000X Skilled Nursing Facility (Licence: OH 35-075612) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-08-22 |