Organization
MID-OHIO NUTRITION THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER M. WILSON RD, LD (OWNER)
(614) 855-2824
Entity
Organization
Contact information
Practice address
1080 BEECHER XING N, GAHANNA, OH 43230-4557
(614) 855-2824
Mailing address
PO BOX 30324, GAHANNA, OH 43230-0324
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5845
OH
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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