Basic Information
| Provider Information | |||||||||
| NPI: | 1053520890 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PHYSIOTHERAPY ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 CROSS POINTE RD #G | ||||||||
| Address2: | |||||||||
| City: | GAHANNA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148649247 | ||||||||
| FaxNumber: | 6148649396 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 CROSS POINTE RD #G | ||||||||
| Address2: | |||||||||
| City: | GAHANNA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148649247 | ||||||||
| FaxNumber: | 6148649396 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/21/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | DHAYER | ||||||||
| AuthorizedOfficialFirstName: | TRACY | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | GROUP BUSINESS MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6148278727 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.