# NATIONWIDE CHILDREN'S HIOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033554910
- **Authorized official:** MISS LISA KLUCHUROSKY ATC (PROGRAM MANAGER)
- **Authorized official phone:** (614) 355-6020

## Contact information

- **Practice address:** 5680 VENTURE DR, DUBLIN, OH 43017-2190
- **Practice address phone:** (614) 355-8737
- **Practice address fax:** (614) 355-8710
- **Mailing address:** 5680 VENTURE DR, DUBLIN, OH 43017-2190
- **Mailing address phone:** (614) 355-8737
- **Mailing address fax:** (614) 355-8710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | AT-001784 | OH | Yes |

## Other

- **Enumeration date:** 05/06/2013
- **Last updated:** 05/06/2013