Organization
ACTIVE LIFE HEALTH OF CINCINNATI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RUSH MD (OWNER)
(301) 928-1697
Entity
Organization
Contact information
Practice address
8251 PINE RD STE 205, CINCINNATI, OH 45236-2191
(513) 904-5888
(513) 904-5867
Mailing address
PO BOX 79662, BALTIMORE, MD 21279-0662
(513) 904-5888
(513) 904-5867
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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