Organization
LIFE CLINIC OF OH , P.A., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZA ALIZADEH (OWNER)
(952) 229-7464
Entity
Organization
Contact information
Practice address
3825 HARD RD, DUBLIN, OH 43016-8335
(952) 229-7464
Mailing address
PO BOX 549, CHANHASSEN, MN 55317-0549
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/17/2021
Last updated
09/29/2021
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