Organization
MIDWEST THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSI LEE (HR MANAGER)
(937) 299-9337
Entity
Organization
Contact information
Practice address
3122 WILMINGTON PIKE, KETTERING, OH 45429-4004
(937) 299-9337
(937) 299-9227
Mailing address
3122 WILMINGTON PIKE, KETTERING, OH 45429-4004
(937) 299-9337
(937) 299-9227
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2955628
—
OH
Enumeration date
08/19/2009
Last updated
11/09/2010
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