Healthcare Provider Details

I. General information

NPI: 1578681862
Provider Name (Legal Business Name): ABC THERAPIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3833 ATTUCKS DR SUITE B
POWELL OH
43065-6082
US

IV. Provider business mailing address

3833 ATTUCKS DR SUITE B
POWELL OH
43065-6082
US

V. Phone/Fax

Practice location:
  • Phone: 614-793-8720
  • Fax: 614-793-8722
Mailing address:
  • Phone: 614-793-8720
  • Fax: 614-793-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0929
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number003474
License Number StateOH

VIII. Authorized Official

Name: MRS. VICKI HERR
Title or Position: CO OWNER SECRETARY TREASURER
Credential: PT, DPT
Phone: 614-793-8720