Individual
MR. SANTIAGO CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5130 BRADENTON AVE STE B, DUBLIN, OH 43017-7068
(614) 336-8733
(614) 336-0658
Mailing address
227 E MOLER ST, COLUMBUS, OH 43207-1127
(614) 779-3646
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016807
OTPTAT
OH
Enumeration date
09/19/2017
Last updated
06/16/2018
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