| NPI | 1861629032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY JOLLIFF Director 419-443-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT10483) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT010484) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |