| NPI | 1912329087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SYAM Manager 614-517-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH 007723) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-06-07 |