| NPI | 1861670721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY M MALLOY Owner 330-494-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT002925) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT0003103) |
| Enumeration Date | 2008-02-03 |
| Last Update Date | 2008-02-03 |