Organization
OHIO FOOT CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LYNN VACHERESSE DPM (OWNER)
(614) 901-0000
Entity
Organization
Contact information
Practice address
245 NEAL AVE, SUITE C, MOUNT GILEAD, OH 43338-9372
(419) 946-6000
(614) 901-4117
Mailing address
855 W COSHOCTON ST, JOHNSTOWN, OH 43031-9587
(614) 901-0000
(614) 901-4117
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003295
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305991
—
OH
05
—
2944247
—
OH
Enumeration date
04/29/2008
Last updated
11/19/2009
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