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Organization
ACTIVE LIFE HEALTH OF CINCINNATI LLC
Active
Organization
ACTIVE LIFE HEALTH OF CINCINNATI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RUSH MD (OWNER)
(301) 928-1697
Entity
Organization
Contact information
Practice address
8251 PINE RD STE 205, CINCINNATI, OH 45236-2191
(513) 904-5888
(513) 904-5867
Mailing address
PO BOX 79662, BALTIMORE, MD 21279-0662
(513) 904-5888
(513) 904-5867
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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