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NPI Code Detail

MEDICARE: OVERLOAD-COLUMBUS LTD

MEDICARE: OVERLOAD-COLUMBUS LTD
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1184764532
Entity Type Code : Organization
Provider Name (Legal Business Name) : OVERLOAD-COLUMBUS LTD
Provider Business Mailing Address
First Line : 4289 MORSE RD
Second Line :
City : GAHANNA
State : OH
Zip : 43230-1522
Country : US
Telephone Number : 614-441-0881
Fax Number :
Provider Business Practice Location Address
First Line : 4289 MORSE RD
Second Line :
City : GAHANNA
State : OH
Zip : 43230-1522
Country : US
Telephone Number : 614-441-0881
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. ROSWELL ELLIS
Credential :
Telephone Number : 614-581-5961
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/19/2007

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Directions to “OVERLOAD-COLUMBUS LTD ” Practice Location

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