Organization
BROAD ST PHYSICAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT COHEN (MEMBER)
(614) 725-4720
Entity
Organization
Contact information
Practice address
3072 W BROAD ST, COLUMBUS, OH 43204-1302
(614) 725-4720
(614) 725-0787
Mailing address
3072 W BROAD ST, COLUMBUS, OH 43204-1302
(614) 725-4720
(614) 725-0787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1689
OH
Other
Enumeration date
05/11/2009
Last updated
04/07/2011
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