Organization
BIG BLUE CANOPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUJA GAITONDE PT (OWNER)
(513) 880-6800
Entity
Organization
Contact information
Practice address
11230 CORNELL PARK DR, BLUE ASH, OH 45242-1825
(513) 880-6800
Mailing address
11230 CORNELL PARK DR, BLUE ASH, OH 45242-1825
(513) 880-6800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/16/2020
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