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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARISA PERRY (PTA)
(614) 439-0256
Entity
Organization

Contact information

Practice address
6099 RIVERSIDE DR STE 207, DUBLIN, OH 43017-2004
(614) 271-2625
Mailing address
6099 RIVERSIDE DR STE 207, DUBLIN, OH 43017-2004
(614) 271-2625

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
12/06/2024
Last updated
12/30/2024
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