Organization
HOMETOWN THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER FORTMAN MPT (OWNER)
(419) 615-9730
Entity
Organization
Contact information
Practice address
1200 S MAIN ST, ADA, OH 45810-2616
(567) 221-1021
(567) 221-1022
Mailing address
PO BOX 228, KALIDA, OH 45853-0228
(567) 221-1021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008532
OH
Other
Enumeration date
10/17/2017
Last updated
03/17/2018
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