| NPI | 1942492822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY TATAR Director 330-259-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH PT010918) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2009-01-05 |