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NPI Code Detail

MEDICARE: TERRA HEALTH INC.

MEDICARE: TERRA HEALTH INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center3466OH

General Provider Information

NPI Number : 1053382325
Entity Type Code : Organization
Provider Name (Legal Business Name) : TERRA HEALTH INC.
Provider Business Mailing Address
First Line : 8745 BLACKBIRD LN
Second Line : PO BOX 273
City : THORNVILLE
State : OH
Zip : 43076-9515
Country : US
Telephone Number : 740-246-5483
Fax Number : 740-246-6480
Provider Business Practice Location Address
First Line : 8745 BLACKBIRD LN
Second Line :
City : THORNVILLE
State : OH
Zip : 43076-9515
Country : US
Telephone Number : 740-246-5483
Fax Number : 740-246-6480
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : MR. VINCENT JOSEPH SMITH
Credential : PT
Telephone Number : 740-246-5483
Provider Enumeration Date : 01/27/2006
Last Update Date : 08/22/2020

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Directions to “TERRA HEALTH INC. ” Practice Location

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