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NPI Code Detail

MEDICARE: COLUMBUS PELVIC FLOOR PHYSICAL THERAPY, LLC

MEDICARE: COLUMBUS PELVIC FLOOR PHYSICAL THERAPY, LLC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1063146108
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS PELVIC FLOOR PHYSICAL THERAPY, LLC
Provider Business Mailing Address
First Line : 10685 MITCHELL RD
Second Line :
City : COLUMBIA STATION
State : OH
Zip : 44028-9563
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3520 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-4033
Country : US
Telephone Number : 614-706-2579
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : ALEXIS MEISTER
Credential : PT, DPT
Telephone Number : 614-706-2579
Provider Enumeration Date : 07/14/2022
Last Update Date : 07/14/2022

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Directions to “COLUMBUS PELVIC FLOOR PHYSICAL THERAPY, LLC ” Practice Location

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