Organization
ABILITIES PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA DODD OTRL CHT (PRESIDENT)
(419) 621-1166
Entity
Organization
Contact information
Practice address
4806 TIMBER COMMONS DR, SUITE B, SANDUSKY, OH 44870-7161
(419) 621-1166
(419) 627-4263
Mailing address
4806 TIMBER COMMONS DR, SUITE B, SANDUSKY, OH 44870-7161
(419) 621-1166
(419) 627-4263
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000382887
ANTHEM BCBS PIN
OH
Enumeration date
02/17/2006
Last updated
11/04/2010
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