Organization
3 PHASE ENDURANCE TRAINING LLC
Active
Other names
3 Phase Health Wellness and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SETH BIDLACK OTR (OWNER)
(419) 438-5026
Entity
Organization
Contact information
Practice address
11154 ROAD 230, CECIL, OH 45821-9309
(419) 438-5026
Mailing address
11154 ROAD 230, CECIL, OH 45821-9309
(419) 438-5026
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
Primary
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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