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General NPI Number Information
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NPI Number | 1881951663
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Entity Type | Organization
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Legal Business Name | THOMAS L WALSH DBA ABILITIES IN MOTION
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 11151 KENWOOD RD
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City | BLUE ASH
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State | OH
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Zip | 45242-1817
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Country | US
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Telephone | 513-489-9400
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Fax | 513-489-9403
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Provider Business Mailing Address
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Address Line | 5701 CHEVIOT RD
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City | CINCINNATI
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State | OH
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Zip | 45247-7007
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Country | US
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Telephone | 513-245-0253
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Fax | 513-245-0258
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Authorized Official
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Title or Position | OWNER / PROSTHETIST ORTHOTIST
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Name | THOMAS WALSH
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Credential | C.P.O., L.P.O.
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Telephone | 513-256-8272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0900X
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Taxonomy Name | Amputee Clinic/Center
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License Number | LP133
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License Number State | OH
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