| NPI | 1972098838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE HUGHES Business Manager 567-204-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH 4125955) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-06-24 |