Healthcare Provider Details
I. General information
NPI: 1003981333
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4353D TULLER ROAD
DUBLIN OH
43017
US
IV. Provider business mailing address
211 NORTH ST
ELKTON MD
21921-5512
US
V. Phone/Fax
- Phone: 614-764-7900
- Fax: 614-764-0715
- Phone: 410-620-4795
- Fax: 410-620-4869
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JUD
HOFF
Title or Position: GENERAL MANAGER
Credential:
Phone: 901-685-7227