# WOMACK ARMY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1700250248
- **Authorized official:** ALLISON RACHELLE JORDAN (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (937) 554-1900

## Contact information

- **Practice address:** 215 ICE AVE, 100, DAYTON, OH 45402
- **Practice address phone:** (937) 554-1900
- **Mailing address:** 215 ICE AVE, UNIT 100, DAYTON, OH 45402-1762
- **Mailing address phone:** (937) 554-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | OT007582 | OH | Yes |

## Other

- **Enumeration date:** 11/20/2015
- **Last updated:** 11/20/2015