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NPI Code Detail

MEDICARE: CHIROPRACTIC AND PHYSICAL THERAPY CENTERS OF OHIO-FOREST PARK

MEDICARE: CHIROPRACTIC AND PHYSICAL THERAPY CENTERS OF OHIO-FOREST PARK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2356OH

General Provider Information

NPI Number : 1083774020
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC AND PHYSICAL THERAPY CENTERS OF OHIO-FOREST PARK
Provider Business Mailing Address
First Line : 3683 GARDEN CT
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2906
Country : US
Telephone Number : 614-277-1248
Fax Number : 614-801-9095
Provider Business Practice Location Address
First Line : 1108 KEMPER MEADOW DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45240-4117
Country : US
Telephone Number : 513-620-8191
Fax Number : 513-620-8194
Authorized Official
Title or Position : BILLING SPECIALIST
Name : MRS. KARLA TALLEDO
Credential :
Telephone Number : 614-801-1307
Provider Enumeration Date : 12/11/2006
Last Update Date : 11/15/2012

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Directions to “CHIROPRACTIC AND PHYSICAL THERAPY CENTERS OF OHIO-FOREST PARK ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.