# LIFE CLINIC OF OH , P.A., INC

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

## Provider details

- **NPI number:** 1861066680
- **Authorized official:** REZA ALIZADEH (OWNER)
- **Authorized official phone:** (952) 229-7464

## Contact information

- **Practice address:** 3825 HARD RD, DUBLIN, OH 43016-8335
- **Practice address phone:** (952) 229-7464
- **Mailing address:** PO BOX 549, CHANHASSEN, MN 55317-0549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 05/17/2021
- **Last updated:** 09/29/2021