Organization
ENLIVEN REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN C GOODE (SOLE MBR)
(603) 490-9725
Entity
Organization
Contact information
Practice address
630 MORRISON RD STE 310, GAHANNA, OH 43230-5318
(614) 755-2347
Mailing address
630 MORRISON RD STE 310, GAHANNA, OH 43230-5318
(614) 755-2347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
01/26/2023
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