| NPI | 1992225148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN Y WONDERS Executive Director 937-477-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2018-04-09 |