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Organization
NORTHWEST PHYSICAL THERAPY, INC.
Active
Organization
NORTHWEST PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD HANNEMAN (ADMINISTRATOR)
(419) 523-9003
Entity
Organization
Contact information
Practice address
1880 N PERRY ST, SUITE 100, OTTAWA, OH 45875-1129
(419) 523-9003
(419) 523-9143
Mailing address
1880 N PERRY ST, SUITE 100, OTTAWA, OH 45875-1129
(419) 523-9003
(419) 523-9143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251343
—
OH
Enumeration date
07/08/2006
Last updated
04/20/2008
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