| NPI | 1992016828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFORD E. GILLEM Owner 740-988-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 227800000X Respiratory Therapist, Certified (Licence: OH RCP 10584) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |