Organization
CAST THERAPY LLC
Active
Organization
CAST THERAPY LLC
Active
Parent organization
CENTER FOR ADVANCED SPINE TECHNOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR ADVANCED SPINE TECHNOLOGY
Authorized official
JACK JOHNSON (CFO)
(281) 881-4211
Entity
Organization
Contact information
Practice address
4555 LAKE FOREST DR, SUITE 150, BLUE ASH, OH 45242-3785
(513) 281-2278
(513) 221-8219
Mailing address
4555 LAKE FOREST DR, SUITE 150, BLUE ASH, OH 45242-3785
(513) 281-2278
(513) 221-8219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
OH
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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