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Organization

UNIVERSAL THERAPY DYNAMICS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM ALAN LIUZZO (PRESIDENT)
(440) 951-6677
Entity
Organization

Contact information

Practice address
35000 KAISER CT, SUITE 301, WILLOUGHBY, OH 44094-3382
(440) 951-6677
(440) 951-2820
Mailing address
35000 KAISER CT, SUITE 301, WILLOUGHBY, OH 44094-3382
(440) 951-6677
(440) 951-2820

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000166005
ANTHEM PT
OH
01
000000287889
ANTHEM OT
OH
01
100644
KAISER
OH
01
127841100
DOL
OH
05
2660893
OH
05
2660973
OH
01
6400134
UNITED
OH
Enumeration date
07/12/2005
Last updated
07/21/2022
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