Organization
MIDWEST THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSI LEE (HR COORDINATOR)
(937) 299-9337
Entity
Organization
Contact information
Practice address
3122 WILMINGTON PIKE, KETTERING, OH 45429-4004
(937) 299-9337
(937) 299-9227
Mailing address
3122 WILMINGTON PIKE, KETTERING, OH 45429-4004
(937) 299-9337
(937) 299-9227
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QA3000X
Augmentative Communication Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2367282
—
OH
Enumeration date
11/03/2006
Last updated
02/12/2008
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