Organization
CHOICE PHYSICAL THERAPY OF OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW G LAIR PT, ATC, MED (OWNER/DIRECTOR)
(513) 792-0777
Entity
Organization
Contact information
Practice address
9419 KENWOOD RD, CINCINNATI, OH 45242-6811
(513) 792-0777
(513) 792-0061
Mailing address
9419 KENWOOD RD, CINCINNATI, OH 45242-6811
(513) 792-0777
(513) 792-0061
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000178624
ANTHEM PIN
OH
01
—
269528041004
MEDICAL MUTUAL B
OH
01
—
270828495001
MEDICAL MUTUAL G
OH
01
—
300563892002
MEDICAL MUTUAL W
OH
01
—
650023013
RR MEDICARE PTAN
OH
01
—
9603
RR MEDICARE GROUP
OH
01
—
CJ9603
RR MEDICARE GROUP
OH
01
—
P00434380
RR MEDICARE PTAN (2)
OH
01
—
P00611846
RR MEDICARE PTAN (3)
OH
Enumeration date
02/08/2006
Last updated
09/02/2008
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