Organization
AQUATIC REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN R KEMPF (OWNER/PRESIDENT)
(513) 793-5525
Entity
Organization
Contact information
Practice address
10567 MONTGOMERY RD, CINCINNATI, OH 45242-4451
(513) 793-5525
(513) 984-1178
Mailing address
10567 MONTGOMERY RD, CINCINNATI, OH 45242-4451
(513) 793-5525
(513) 984-1178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000014867
ANTHEM
OH
05
—
2456917
—
OH
01
—
64-00167
UNITED HEALTHCARE
OH
01
—
PT180
HUMANA/CHOICE CARE
OH
Enumeration date
08/18/2006
Last updated
08/22/2020
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