| NPI | 1922332451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L SHRIVER Partner 740-295-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 005994) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH 005876) |
| 2251P0200X Physical Therapist, Pediatrics (Licence: OH 002784) | |
| 225200000X Physical Therapy Assistant (Licence: OH 02787) | |
| 224Z00000X Occupational Therapy Assistant (Licence: OH 01826) | |
| 225200000X Physical Therapy Assistant (Licence: OH 06495) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2015-07-14 |