MEDICARE: DEBORAH DOLBOW

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
1	225700000X	Massage Therapist	33.013814	OH

General Provider Information

NPI Number	:	1548668197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH DOLBOW

Provider Business Mailing Address
First Line	:	1900 CROWN PARK CT STE D
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-2407
Country	:	US
Telephone Number	:	614-395-7581
Fax Number	:

Provider Business Practice Location Address
First Line	:	3518 RIVERSIDE DR
Second Line	:	STE. 104
City	:	UPPER ARLINGTON
State	:	OH
Zip	:	43221-1735
Country	:	US
Telephone Number	:	614-395-7581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2014
Last Update Date	:	02/08/2019

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Directions to “ DEBORAH DOLBOW ” Practice Location

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