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Organization
SPECTRUM THERAPY,LLC
Active
Organization
SPECTRUM THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARISE MARIE VACCA P.T. (PRESIDENT, SPECTRUM THERAPY,LLC)
(614) 388-5877
Entity
Organization
Contact information
Practice address
5020 REED RD, SUITE C, COLUMBUS, OH 43220-2581
(614) 388-5877
(614) 388-5877
Mailing address
52 WESTERVILLE SQ, P.M.B. # 201, WESTERVILLE, OH 43081-2919
(614) 388-5877
(614) 388-5877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5072
OH
225100000X
Physical Therapist
5840
OH
225100000X
Physical Therapist
9081
OH
225200000X
Physical Therapy Assistant
415
OH
Other
Enumeration date
06/04/2007
Last updated
07/17/2007
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