Healthcare Provider Details

I. General information

NPI: 1548596547
Provider Name (Legal Business Name): DEANNA K PARKHURST PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2009
Last Update Date: 09/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1282 CHATHAM RIDGE RD
WESTERVILLE OH
43081-3231
US

IV. Provider business mailing address

1282 CHATHAM RIDGE RD
WESTERVILLE OH
43081-3231
US

V. Phone/Fax

Practice location:
  • Phone: 614-961-7055
  • Fax:
Mailing address:
  • Phone: 614-961-7055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number4250
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: