Organization
GAMEDAY TRAINING CENTER LLC
Active
Other names
GameDay Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E FURDA PT (OWNER MEMBER)
(740) 632-1664
Entity
Organization
Contact information
Practice address
263 MAIN ST, WINTERSVILLE, OH 43953-3735
(740) 632-1664
Mailing address
263 MAIN ST, WINTERSVILLE, OH 43953-3735
(740) 632-1664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004752
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2650108
—
OH
01
—
536080
GROUP BC BS NUMBER
OH
01
—
536082
INDIVIDUAL BCBS NUMBER
OH
01
—
732344
HEALTH ASSURANCE
—
Enumeration date
03/22/2007
Last updated
05/26/2009
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