Organization
BECKETT RIDGE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT J KLUSMAN PT (OWNER)
(513) 874-2778
Entity
Organization
Contact information
Practice address
4934 WUNNENBERG WY, WEST CHESTER, OH 45069
(513) 874-2778
(513) 881-2252
Mailing address
4934 WUNNENBERG WAY, WEST CHESTER, OH 45069-4985
(513) 874-2778
(513) 881-2252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07586
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208962
—
OH
Enumeration date
01/17/2007
Last updated
01/16/2014
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