| NPI | 1942976741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA BOCKBRADER Member 614-344-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 2084N0600X | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 261QR1100X Clinic/Center, Research | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2025-12-04 |