Organization
ACTIVE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RAYMOND VANWYE PT (OFFICER)
(614) 850-0500
Entity
Organization
Contact information
Practice address
5551 HILLIARD ROME OFFICE PARK, HILLIARD, OH 43026-7287
(614) 850-0500
Mailing address
PO BOX 1267, HILLIARD, OH 43026-6267
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10408
OH
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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