| NPI | 1912349416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOSEPH GALLAGHER Owner 330-472-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: TX 1213886) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2015-09-29 |