Organization
ZANDEX INC
Active
Other names
50 Plus Therapy Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE MCCOY (CLINIC DIRECTOR)
(740) 588-2182
Entity
Organization
Contact information
Practice address
1122 TAYLOR ST, ZANESVILLE, OH 43701-2658
(740) 588-2182
(740) 588-2185
Mailing address
1122 TAYLOR ST, PO BOX 730, ZANESVILLE, OH 43701-2658
(740) 588-2182
(740) 588-2185
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000 000 224935
ANTHEM
OH
05
—
2323131
—
OH
01
—
DA1942
RAIL ROAD MEDICARE
OH
Enumeration date
08/07/2006
Last updated
08/22/2020
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