| NPI | 1871834465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN J GILLMAN President 937-603-4358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT14036) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |