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General NPI Number Information
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NPI Number | 1801308986
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Entity Type | Organization
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Legal Business Name | PHYSICAL REHABILITATION SERVICES LLC
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 04/30/2018
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Provider Practice Location Address
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Address Line | 860 MAIN ST
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City | WINTERSVILLE
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State | OH
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Zip | 43953-3870
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Country | US
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Telephone | 740-264-9500
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Fax | 740-266-6394
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Provider Business Mailing Address
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Address Line | 860 MAIN ST
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City | WINTERSVILLE
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State | OH
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Zip | 43953-3870
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Country | US
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Telephone | 740-264-9500
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Fax | 740-266-6394
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | DR. DAVID RAY BOWDEN II
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Credential | DC
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Telephone | 740-424-9157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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