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Organization

SPINE SPORTS & INDUSTRIAL REHABILITATION INC

Active
Other names
Spinal & Orthopaedic Medicine Assoc. INC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CATHY YOUNG (DIRECTOR OF OPERATIONS)
(614) 486-7171
Entity
Organization

Contact information

Practice address
1335 DUBLIN RD, SUITE 100-A, COLUMBUS, OH 43215-1000
(614) 486-7171
(614) 486-9854
Mailing address
1335 DUBLIN RD, SUITE 100-A, COLUMBUS, OH 43215-1000
(614) 486-7171
(614) 486-9854

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
34006814
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2067445
OH
Enumeration date
03/13/2007
Last updated
02/14/2008
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