Organization
OHIO STATE UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA FAYE CONVERSE PT, ATC (STAFF PHYSICAL THERAPIST)
(614) 293-2385
Entity
Organization
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-2385
(614) 293-3066
Mailing address
173 MACDOUGALL LN, BLACKLICK, OH 43004-9317
(614) 499-7100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT09715
OH
Other
Enumeration date
05/23/2007
Last updated
06/16/2008
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