Organization
OHIO MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA CULL (COO)
(678) 469-5011
Entity
Organization
Contact information
Practice address
580 LINCOLN PARK BLVD STE 100, KETTERING, OH 45429-3490
(937) 949-1030
(937) 834-4410
Mailing address
5821 SOUTHWEST FWY STE 550, HOUSTON, TX 77057-7531
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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