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Organization
THERAPEUTIC EDGE
Active
Organization
THERAPEUTIC EDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE WISWELL COTA (COTA)
(419) 775-6697
Entity
Organization
Contact information
Practice address
3284 ATLIN AVE, DUBLIN, OH 43017-1410
(419) 775-6697
Mailing address
3284 ATLIN AVE, DUBLIN, OH 43017-1410
(419) 775-6697
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
04429
OH
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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