Organization
INNOVATION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN RENEA BLOCK OTR/L (OWNER)
(614) 805-8938
Entity
Organization
Contact information
Practice address
2983 CREEKWOOD ESTATES DR, BLACKLICK, OH 43004-8058
(614) 805-8938
Mailing address
2983 CREEKWOOD ESTATES DR, BLACKLICK, OH 43004-8058
(614) 805-8938
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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