Healthcare Provider Details

I. General information

NPI: 1750500021
Provider Name (Legal Business Name): MARK C ESKAY PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KENNY RD SUITE 2100, SECOND FLOOR PAVILION
COLUMBUS OH
43221-3502
US

IV. Provider business mailing address

1344 BLAIR HOUSE CT
COLUMBUS OH
43235-4000
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-4523
  • Fax: 614-293-5220
Mailing address:
  • Phone: 614-804-9576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7561
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: