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Organization
MSM PARTNERSHIP
Active
Organization
MSM PARTNERSHIP
Active
Other names
SportsMed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL F. SPEAR RN, ATC (CEO, OWNER)
(740) 374-3200
Entity
Organization
Contact information
Practice address
160 GROSS ST, MARIETTA, OH 45750-2031
(740) 374-3200
(740) 374-9560
Mailing address
160 GROSS ST, MARIETTA, OH 45750-2031
(740) 374-3200
(740) 374-9560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9931761
PROVIDER NUMBER
OH
Enumeration date
02/25/2008
Last updated
02/25/2008
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