Healthcare Provider Details

I. General information

NPI: 1851078562
Provider Name (Legal Business Name): SUMMER DAWN WELLNESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2023
Last Update Date: 07/04/2023
Certification Date: 07/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7243 BEECHMONT AVE
CINCINNATI OH
45230-4125
US

IV. Provider business mailing address

5280 DEER PATH
MILFORD OH
45150-9418
US

V. Phone/Fax

Practice location:
  • Phone: 513-624-3131
  • Fax:
Mailing address:
  • Phone: 513-802-2555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID LINGER
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 513-624-3125