| NPI | 1972155257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MORGAN Program Manager 330-534-8500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-24 |