Organization
UNITED REHABILITATION SERVICES OF GREATER DAYTON
Active
Other names
United Rehabilitation Services of Greater Datyon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS GENE GRANT (EXECUTIVE DIRECTOR)
(937) 233-1230
Entity
Organization
Contact information
Practice address
4710 OLD TROY PIKE, DAYTON, OH 45424-5740
(937) 233-1230
(937) 236-8930
Mailing address
4710 OLD TROY PIKE, DAYTON, OH 45424-5740
(937) 233-1230
(937) 236-8930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT10492
OH
225X00000X
Occupational Therapist
Primary
OT007137
OH
225X00000X
Occupational Therapist
OT6693
OH
235Z00000X
Speech-Language Pathologist
SP4338
OH
235Z00000X
Speech-Language Pathologist
SP7843
OH
235Z00000X
Speech-Language Pathologist
SP8483
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003352
ANTHEM GROUP NUMBER PT
OH
01
—
000000221897
ANTHEM GROUP NUMBER
OH
01
—
000000378664
ANTHEM INDIVIDUAL NUMBER
OH
01
—
000000550569
ANTHEM INDIVIDUAL NUMBER
OH
05
—
0510772
—
OH
05
—
2561508
—
OH
Enumeration date
04/12/2007
Last updated
02/21/2017
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