# BROAD ST PHYSICAL REHAB LLC

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

## Provider details

- **NPI number:** 1467686121
- **Authorized official:** DR. ROBERT COHEN (MEMBER)
- **Authorized official phone:** (614) 725-4720

## Contact information

- **Practice address:** 3072 W BROAD ST, COLUMBUS, OH 43204-1302
- **Practice address phone:** (614) 725-4720
- **Practice address fax:** (614) 725-0787
- **Mailing address:** 3072 W BROAD ST, COLUMBUS, OH 43204-1302
- **Mailing address phone:** (614) 725-4720
- **Mailing address fax:** (614) 725-0787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1689 | OH | Yes |

## Other

- **Enumeration date:** 05/11/2009
- **Last updated:** 04/07/2011