Organization
BERRY LEAF FOOT & ANKLE CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M GRAYTOCK DPM (PARTNER)
(614) 457-4774
Entity
Organization
Contact information
Practice address
1660 NW PROFESSIONAL PLZ, SUITE K, COLUMBUS, OH 43220-3854
(614) 457-4774
(614) 457-4795
Mailing address
1660 NW PROFESSIONAL PLZ, SUITE K, COLUMBUS, OH 43220-3854
(614) 457-4774
(614) 457-4795
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2236182
—
OH
Enumeration date
05/24/2006
Last updated
08/22/2020
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