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Organization
PROFESSIONAL PHYSICAL THERAPY SERVICES, INC
Active
Organization
PROFESSIONAL PHYSICAL THERAPY SERVICES, INC
Active
Other names
SPORTS THERAPY, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC Z NOVICKI A.T.C. (PRESIDENT)
(513) 671-5841
Entity
Organization
Contact information
Practice address
5700 GATEWAY, SUITE 100A, MASON, OH 45040-1890
(513) 336-0540
(513) 336-6064
Mailing address
11729 SPRINGFIELD PIKE, CINCINNATI, OH 45246-2311
(513) 671-5841
(513) 671-5106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2927293
—
OH
Enumeration date
03/28/2007
Last updated
07/21/2022
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