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Organization

HABILITATION SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOLLY THOMPSON (VP OF OPERATIONS)
(614) 889-5837
Entity
Organization

Contact information

Practice address
6171 HUNTLEY RD, COLUMBUS, OH 43229-1078
(614) 840-0558
(614) 840-9310
Mailing address
525 METRO PL N, SUITE 450, DUBLIN, OH 43017-5342
(614) 889-5837
(614) 889-5847

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OH
225100000X
Physical Therapist
OH
225200000X
Physical Therapy Assistant
OH
225X00000X
Occupational Therapist
OH
2355S0801X
Speech-Language Assistant
Primary
OH
235Z00000X
Speech-Language Pathologist
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2642626
OH
Enumeration date
08/18/2006
Last updated
09/11/2025
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