| NPI | 1902507320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW AMICONE Owner / Doctor Of Physical Therapy 740-487-4739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |