MEDICARE: JENNIFER TOUHEY M.P.T

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	225100000X	Physical Therapist	11065	OH

General Provider Information

NPI Number	:	1831223023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER TOUHEY M.P.T

Provider Business Mailing Address
First Line	:	4605 SAWMILL RD
Second Line	:	SUITE 201
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2246
Country	:	US
Telephone Number	:	614-273-5633
Fax Number	:	614-573-5636

Provider Business Practice Location Address
First Line	:	4605 SAWMILL RD
Second Line	:	SUITE 201
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2246
Country	:	US
Telephone Number	:	614-273-5633
Fax Number	:	614-573-5636

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

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	07/08/2007

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