| NPI | 1871040139 |
|---|---|
| Doing Business As | GARRETTSVILLE FOOT AND ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARMELITA R REYES Managing Member 330-759-8690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2016-09-04 |
| Last Update Date | 2016-09-04 |