| NPI | 1922293869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MATVEY Adminstrator 614-899-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OH 2129) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-11-12 |