| NPI | 1902115769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA R MULICHAK Contract Coordinator 330-652-2287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: OH PT004636) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |