Healthcare Provider Details

I. General information

NPI: 1497229504
Provider Name (Legal Business Name): ELIZABETH ASHLEY ROWE PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2019
Last Update Date: 01/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

717 NEIL AVE
COLUMBUS OH
43215-1609
US

IV. Provider business mailing address

1704 CREEKSIDE DR
COLUMBUS OH
43223-3506
US

V. Phone/Fax

Practice location:
  • Phone: 614-228-8888
  • Fax:
Mailing address:
  • Phone: 740-978-0151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA.10236
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: