| NPI | 1992029193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TODD WILSON Owner 614-367-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: OH 2162) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |