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Organization
MOHICAN THERAPY GROUP
Active
Organization
MOHICAN THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN STALLARD (OPERATIONS MANAGER)
(740) 392-8811
Entity
Organization
Contact information
Practice address
17809 STATE ROUTE 31, MILL VALLEY PLAZA UNIT 9, MARYSVILLE, OH 43040-9609
(937) 738-7818
Mailing address
112 HARCOURT RD, SUITE 1, MOUNT VERNON, OH 43050-3946
(740) 392-8811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
10/06/2009
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