Organization
REHABILITATION REDEFINED, LLC
Active
Other names
Outlive Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
COREY SOUTHERS PT, DPT (OWNER, PHYSICAL THERAPIST)
(815) 901-1198
Entity
Organization
Contact information
Practice address
4041 N HIGH ST STE 100A, COLUMBUS, OH 43214-3248
(815) 901-1198
Mailing address
4041 N HIGH ST STE 100A, COLUMBUS, OH 43214-3248
(815) 901-1198
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/12/2024
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