Healthcare Provider Details

I. General information

NPI: 1679488514
Provider Name (Legal Business Name): CECILIA RATHBONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5880 SAWMILL RD STE 150
DUBLIN OH
43017-7598
US

IV. Provider business mailing address

439 COMPTON RD
WYOMING OH
45215-4114
US

V. Phone/Fax

Practice location:
  • Phone: 614-318-0808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.010345RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: