Healthcare Provider Details

I. General information

NPI: 1306069349
Provider Name (Legal Business Name): THERAPY WORKS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7117 ORCHARD CENTRE DR
HOLLAND OH
43528-7974
US

IV. Provider business mailing address

7117 ORCHARD CENTRE DR
HOLLAND OH
43528-7974
US

V. Phone/Fax

Practice location:
  • Phone: 419-866-9675
  • Fax: 419-866-5716
Mailing address:
  • Phone: 419-866-9675
  • Fax: 419-866-5716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT-5868
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT-4112
License Number StateOH

VIII. Authorized Official

Name: MRS. DEANNA MARIE MCCOMISH
Title or Position: DIRECTOR PHYSICAL THERAPIST
Credential: PT
Phone: 419-866-9675