| |
5550 Ennis Rd, Albany, OH 45710-9259 | |
(740) 698-3181 | |
(740) 888-1849 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 5550 Ennis Rd, Albany, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497983910 | NPI | - | NPPES |
2263438 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2953 (Ohio) | Secondary |
225100000X | Physical Therapist | 009790 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 8, Albany, OH 45710-0008 Ph: (740) 698-3181 | 5550 Ennis Rd, Albany, OH 45710-9259 Ph: (740) 698-3181 |