| NPI | 1902893035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PETTY President 937-395-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 35038579P) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |