| NPI | 1932152931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M DAVIS Billing Specialist 330-759-5904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-01-21 |