Organization
NATIONWIDE CHILDREN'S HIOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA KLUCHUROSKY ATC (PROGRAM MANAGER)
(614) 355-6020
Entity
Organization
Contact information
Practice address
5680 VENTURE DR, DUBLIN, OH 43017-2190
(614) 355-8737
(614) 355-8710
Mailing address
5680 VENTURE DR, DUBLIN, OH 43017-2190
(614) 355-8737
(614) 355-8710
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
AT-001784
OH
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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