Healthcare Provider Details

I. General information

NPI: 1114973104
Provider Name (Legal Business Name): TOTAL THERAPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 01/11/2020
Certification Date: 01/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 OVERBROOK DR STE D
MONROE OH
45050-1147
US

IV. Provider business mailing address

20 OVERBROOK DR STE D
MONROE OH
45050-1147
US

V. Phone/Fax

Practice location:
  • Phone: 513-539-2886
  • Fax: 877-430-7975
Mailing address:
  • Phone: 513-539-2886
  • Fax: 877-430-7975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN M LONG
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: PT
Phone: 513-539-2886