| NPI | 1992059380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LARSEN Owner 440-785-5278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OH 34-007383) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-07 |