MEDICARE: OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QP2000X	Physical Therapy Clinic/Center
2	261QX0100X	Occupational Medicine Clinic/Center
3	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1568925220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO.

Provider Business Mailing Address
First Line	:	5080 SPECTRUM DR STE 1200W
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-4624
Country	:	US
Telephone Number	:	972-725-6423
Fax Number	:

Provider Business Practice Location Address
First Line	:	2627 S SOUTH ST
Second Line	:
City	:	WILMINGTON
State	:	OH
Zip	:	45177-2926
Country	:	US
Telephone Number	:	937-746-8795
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	JOHN ANDERSON
Credential	:
Telephone Number	:	972-364-8000

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	04/10/2019

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Directions to “OCCUPATIONAL HEALTH CENTERS OF OHIO, P.A., CO. ” Practice Location

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