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Organization
GRACELAND CHIROPRACTIC, LLC
Active
Organization
GRACELAND CHIROPRACTIC, LLC
Active
Other names
Worthington Physical Therapy and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN ASHLEY HALDEMAN D.C. (OWNER, OPERATOR, PHYSICIAN)
(614) 436-2225
Entity
Organization
Contact information
Practice address
7955 N HIGH ST, COLUMBUS, OH 43235-1423
(614) 436-2225
(614) 436-2220
Mailing address
7955 N HIGH ST, COLUMBUS, OH 43235-1423
(614) 436-2225
(614) 436-2220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2550529
—
OH
01
—
HA4116562
MEDICARE
OH
Enumeration date
02/27/2008
Last updated
02/07/2018
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