Organization
OHIO UNIVERSITY
Active
Other names
OU PT SM Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DEAN (AUTHORIZED OFFICIAL)
(740) 593-1171
Entity
Organization
Contact information
Practice address
1 OHIO UNIVERSITY FL 5, ATHENS, OH 45701-2942
(740) 593-1173
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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