| NPI | 1972917193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WAYNE JOHNSON Owner 513-301-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH PT.013568) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2018-03-14 |